A study of menstrual pattern in relation to thyroid status in infertile women
Journal Title: MedPulse -International Medical Journal - Year 2017, Vol 4, Issue 4
Abstract
Introduction: It has long been recognized that thyroid dysfunction may have profound effects on the female reproductive system. A relationship between the thyroid gland and the gonads is suggested by the far more frequent occurrence of thyroid disorders in women than in men and by the common appearance of goiter during puberty, pregnancy and the menopause Aims and Objectives: To Study Menstrual pattern in relation to thyroid status. Material and Methods: The present study was conducted in the Department of Obstetrics and Gynaecology, SMGS Hospital, Government Medical College, Jammu for a period of one year. Study Group: Fifty (50) cases of infertile women, in the age group of 20 to 35 years, were selected from outpatient department and indoor. Control Group: Fifty (50) cases of non-pregnant women with proven fertility, in the age group of 20 to 35 years, were selected for control group. The following investigations were carried out in the study group Data was analysed using computer software SPSS version 12.0 for Windows. Data presented as percentages for qualitative variables, mean and standard deviation for quantitative variables. For the continuous variable, student 't'-test (unpaired) was applied and to see for the associationd among the variables, chi-square test was used. p value of less than 0.05 was considered as statistically significant. Result: Clinical hyperthyroidism was not observed in any group, In study group, subclinical hypothyroidism was present in 11 (22%) cases, clinical hypothyroidism was present in 2 (4%) cases and subclinical hyperthyroidism was present in 1 (2%) cases. In control group, only subclinical hypothyroidism was present in 2 (4%) cases. Among euthyroid cases,19 (52.78%) cases had normal menstrual pattern, 4 (11.11%) cases had menorrhagia, 3 (8.33%) cases had polymenorrhea, 4 (11.11%) cases had oligomenorrhea, 5 (13.89%) cases had hypomenorrhea, 1 (2.78%) case had amenorrhea while in controls, 41(85.41%) cases had normal menstruation, 3 (6.26%) cases had menorrhagia, 1 (2.08%) cases had polymenorrhea, 2 (4.17%) cases had oligomenorrhea, 1 (2.08%) case had hypomenorrhea and no case had ammennorhea.In study group with hypothyroidism, 6 (46.15%) cases had normal menstrual pattern, 2 (15.38%) cases had menorrhagia, 5 (38.47%) cases had oligomenorrhea, while no case had either polymenorrhea, hypomenorrhea or amenorrhea. In controls with hypothyroidism there were only 2 cases who had oligomennorhea. Conclusion: The infertile cases with abnormal menstruation had more of thyroid disorders in comparison to infertile cases with normal menstruation.
Authors and Affiliations
Bhanu Mahajan, Parikh Rana, Anuradha 3, Anita Sharma
Keywords
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