Study of Thyroid Dysfunction in Women with Abnormal Uterine Bleeding At Tertiary Care Hospital In Western Rajasthan
Journal Title: International Journal of Medical Science and Innovative Research (IJMSIR) - Year 2018, Vol 3, Issue 4
Abstract
Background: Abnormal uterine bleeding is defined as any uterine bleeding outside normal volume, duration, regularity, frequency. Abnormal uterine bleeding (AUB) is an extremely common complicated clinical presentation accounting for at least 20% of all new outpatient visits1. Thyroid dysfunction is a cause of non structural AUB. Menstrual disturbances may accompany and even may precede thyroid dysfunction. Material & Methods : Hospital based prospective study was conducted on 200 women presenting with abnormal uterine bleeding at Dept. of Obst. and Gynae, S.P.Medical College and P.B.M. Hospital Bikaner during 1st October 2016 to 31st September 2017. To study the thyroid dysfunction in abnormal uterine bleeding. Results : Most of the cases 114(57%) belong to age group 21-30 years whereas least common 20(10%) cases belong to >40 years age group. Mean age of the patients was 28.517.71 years. Majority of patients about 76(38%) were multipara (>3) while least number of cases were found in para 1 (7.5%). 55(27.5%) and 54(27%) patients were para 2 and nullipara (para 0) respectively. Most common bleeding pattern was menorrhagia found in 69(34.5%) patients and least common polymenorrhoea in 28(14%) patients. , maximum proportion of cases were euthyroid 109(54.5%), followed by 68(34%) cases were hypothyroid and 23(11.5%) cases were hyperthyroid. Mean TSH in patients was 7.167.80µIu/ml.Most common bleeding pattern was menorrhagia in hypothyroid and oligomenorrhoea in hyperthyroid group. Conclusion:Abnormal uterine bleeding is a common but complicated clinical presentation. Accurate, determination of the prevalence of abnormal uterine bleeding is difficult, however approximately 15% to 20% of scheduled office, gynaecological visits are for abnormal uterine bleeding. Abnormal uterine bleeding is frequently seen to be associated with thyroid dysfunction and in majority of the patients, menstrual abnormality may even precede the occurrence of other clinical signs and symptoms of thyroid dysfunction.
Authors and Affiliations
Preeti Sankhla
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