ASSOCIATION OF HYPOTHYROIDISM WITH ABNORMAL UTERINE BLEEDING
Journal Title: Journal of Evolution of Medical and Dental Sciences - Year 2017, Vol 6, Issue 95
Abstract
BACKGROUND Abnormal uterine bleeding is a very common presenting complaint in gynaecological OPD. So this study was conducted to find out the association of hypothyroidism in menstrual irregularity. Detecting and treating the thyroid abnormality will definitely reduce the incidence of hysterectomy done for menstrual irregularity. Menstrual disorders are a common problem during adolescence. These disorders may cause significant anxiety for patients and their families. Menorrhagia is a frequent debilitating symptom in gynaecological practice resulting in need for repeated curettage and hysterectomy with associated morbidity and mortality. The aetiology of abnormal menstrual bleeding is very diverse, it may be due to systemic conditions like endocrine disorders (Thyroid dysfunction), or local lesions of the genital tract (Endometrial hyperplasia, pelvic inflammatory disease, endometriosis, benign and malignant tumours). Thyroid dysfunction is one of the most common cause of menstrual irregularities. There are established linkages between hypothyroidism and menstrual irregularities. The objective of the study was to determine the frequency and type of menstrual irregularities associated with hypothyroidism. Menorrhagia and oligomenorrhoea were most commonly found in present study. Thus, it is concluded that menstrual irregularities increase with severity of hypothyroidism. MATERIALS AND METHODS A retrospective study was conducted in the Department of Obstetrics & Gynaecology in Saraswati Medical College from October 2016 to September 2017. Total 200 patients who came to GYN OPD were taken. Out of which only 50 patients of age group 15 to 45 years were selected after complete clinical history, general and systemic examination and investigations. RESULTS In this research, total 200 patients were selected out of which 50 patients were observed for menstrual irregularity associated with hypothyroidism. The general problem was observed in age group 25-45 years. Menorrhagia and Oligomenorrhoea were the most common presenting symptoms. It was observed that menstrual irregularities were more frequent in patients with hypothyroidism. CONCLUSION We have seen in our study that menstrual irregularities increase with severity of hypothyroidism. Testing and treating hypothyroidism also avoids unnecessary hormonal treatment and hysterectomy surgeries. Most of the patients of hypothyroidism in reproductive age group present with menorrhagia in early stage of the disease.
Authors and Affiliations
Mishra Archana, Jain Anita, Prakash Ritika, Pandey Richa
Keywords
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- EP ID EP280573
- DOI 10.14260/jemds/2017/1510
- Views 87
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