The study of thyroid dysfunction in patients with abnormal uterine bleeding

Authors

  • Dhanusha Nekkanti Department of Obstetrics and Gynecology, Sri Devaraj Urs Academy of Higher Education and Research, Tamaka, Karnataka, India
  • Vasantha Kumar S. Department of Obstetrics and Gynecology, Sri Devaraj Urs Academy of Higher Education and Research, Tamaka, Karnataka, India

DOI:

https://doi.org/10.18203/2320-1770.ijrcog20233624

Keywords:

Abnormal uterine bleeding, Menorrhagia, Metrorrhagia, Thyroid dysfunction

Abstract

Background: Abnormal uterine bleeding (AUB) is the most common gynecological condition observed during many women's reproductive period. AUB affects the quality of life, causing distress. Most of the cases are undiagnosed or not properly diagnosed. Multiple reasons are causing AUB, one of them is thyroid dysfunction. Nowadays, thyroid testing is readily available, which helps in diagnosis and better management of AUB.

Methods: A prospective observational study was conducted with 124 AUB cases using simple random sampling after approval from the ethics committee.

Results: Total thyroid dysfunction was noted in 32.26% of cases, and 70.16% were multiparous. About 34.1% of cases of menorrhagia and 54.2% of cases of oligomenorrhea had thyroid abnormalities.

Conclusions: For appropriate management of AUB, testing of thyroid levels is necessary.

References

Liu Z, Doan QV, Blumenthal P, Dubois RW. A systematic review evaluating health-related quality of life, work impairment, and health-care costs and utilization in abnormal uterine bleeding. Value Health. 2007;10(3):183-94.

Munro MG, Critchley HOD, Broder MS, Fraser IS. FIGO classification system (PALM-COEIN) for causes of abnormal uterine bleeding in nongravid women of reproductive age. Int J Gynecol Obstet. 2011;113(1):3-13.

Shah JV, Pandya MJ, Prajapati PB, Senta DB, Patel MK. An analytical study of abnormal uterine bleeding in women of child bearing age group. Int J Reprod Contracept Obstet Gynecol. 2021;10(8):3-8.

Kumar S, Kotur P. Effects of hypothyroidism in Indian women of reproductive age group- a review. Indian J Obstet Gynecol Res. 2020;7(1):1-6.

Thakur M, Maharjan M, Tuladhar H, Dwa Y, Bhandari S, Maskey S, et al. Thyroid dysfunction in patients with abnormal uterine bleeding in a tertiary care hospital: a descriptive cross-sectional study. J Nepal Med Assoc. 2020;58(225):333-7.

Subedi S, Banerjee B, Chhetry M. Thyroid disorders in women with dysfunctional uterine bleeding. J Pathol Nepal. 2016;6(1):10-8.

Henry C, Ekeroma A, Filoche S. Barriers to seeking consultation for abnormal uterine bleeding: systematic review of qualitative research. BMC Womens Health. 2020;20(1):123.

Dittrich R, Beckmann MW, Oppelt PG, Hoffmann I, Lotz L, Kuwert T, et al. Thyroid hormone receptors and reproduction. J Reprod Immunol. 2011;90(1):58-66.

Singh S, Sahoo S, Das PC. A study of thyroid dysfunction in dysfunctional uterine bleeding. Int J Reprod Contracept Obstet Gynecol. 2018;7:1002-6.

Narula ER. Menstrual irregularities. J Obstet Gynecol India. 1967;17:164.

Pahwa S, Shailja G, Jasmine K. Thyroid dysfunction in dysfunctional uterine bleeding. J Adv Res Bio Sci. 2013;5(1):78-83.

Chaitra M, Anitha GS, Savitha C. A prospective study of thyroid dysfunction in dysfunctional uterine bleeding. Int J Reprod Contracept Obstet Gynecol. 2019;8(11):4387-91.

Verma SK, Pal A, Jaswal S. A study of thyroid dysfunction in dysfunctional uterine bleeding. Int J Reprod Contracept Obstet Gynecol. 2017;6(5):5-11.

Bhavani N, Sathineedi A, Giri A, Chippa S, Reddy VSP. A study of correlation between abnormal uterine bleeding and thyroid dysfunction. Int J Recent Trends Sci Tech. 2015;14(1):131-5.

Singh P, Dubey P, Yadav S, Yadav SS. Thyroid abnormality in abnormal uterine bleeding: an observational study from Medical College in Western UP, India. Int J Reprod Contracept Obstet Gynecol. 2018;7(1):308-12.

Gowri M, Radhika BH, Harshini V, Ramaiaha R. Role of thyroid function tests in women with abnormal uterine bleeding. Int J Reprod Contracept Obstet Gynecol. 2014;3(1):54-7.

Deshmukh PY, Boricha BG, Pandey A. The association of thyroid disorders with abnormal uterine bleeding. Int J Reprod Contracept Obstet Gynecol. 2015;4(3):12-8.

Kumar AHS, Saravanan S. A study of prevalence of thyroid disorders in patients with abnormal uterine bleeding. Int J Reprod Contracept Obstet Gynecol. 2017;6(3):1036-40.

Kaur T, Aseeja V, Sharma S. Thyroid dysfunction in dysfunctional uterine bleeding. Obstet Gynecol. 2011;4(3):2-8.

Joshi BR, Rizal S, Subedi S. Thyroid dysfunction in patient with abnormal uterine bleeding in a tertiary hospital of eastern Nepal: a descriptive cross-sectional study. J Nepal Med Assoc. 2021;59(239):635-9.

Patil A, Shiragur SS, Gobbur V, Mudanur S, Bidri S, Yaliwal R, et al. Association of bleeding patterns with thyroid dysfunction in patients with abnormal uterine bleeding: a prospective cross-sectional study. J Clin Diagn Res. 2022;4(1):10-3.

Downloads

Published

2023-11-28

Issue

Section

Original Research Articles