Study of thyroid dysfunction in women with menstrual disorders - A prospective study
Journal Title: Medpulse International Journal of Gynaecology - Year 2019, Vol 9, Issue 3
Abstract
Background: Menstrual disorder is a common problem among women in the reproductive age. These menstrual irregularities can be of polymenorrhoea, menorrhagia, oligomenorrhoea, amenorrhea etc. Thyroid dysfunction is associated with menstrual disorders in females of all age groups. Aims and objectives: 1. To evaluate and detect the thyroid dysfunction in patients presenting with menstrual disorders between 18 to 45 years Study the prevalence of thyroid dysfunction in menstrual disorders. 2. To correlate between menstrual bleeding pattern and T3, T4, and TSH hormones. Materials and methods: A hospital based prospective observational study was carried out in the department of obstetrics and gynaecology of D.Y Patil Medical College, Nerul over a period of two years from August 2014 to November 2016.Hundred women of reproductive age group between 18-45 years presenting to OPD with menstrual disorders were recruited in this study. Results: In this study 44% out of 100 cases had thyroid dysfunction. Among which 20% had subclinical hypothyroidism and 11% had hypothyroidism. Hyperthyroidism was seen in 5 % of the cases and subclinical hyperthyroidism seen in 8%. Menorrhagia was the commonest menstrual disorder seen in hypothyroid patients followed by polymenorrhoea. Oligomenorrhoea followed by amenorrhoea were commonly seen in hyperthyroid patients. Conclusion: Thyroid dysfunction is an important causative factor of menstrual abnormalities. Therefore every woman with menstrual disorders should be evaluated for thyroid function test. If these thyroid disorders are diagnosed and treated in time, menstrual disorders settle and unnecessary interventions like hormonal and surgical treatment can be avoided.
Authors and Affiliations
Sudha Rani Gandi, Pallavi Vishwekar, Raj Shekhar Yadav, Nusrat Chauhan
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