A study of thyroid dysfunction in dysfunctional uterine bleeding

Authors

  • Sujata Singh Department of Obstetrics and Gynecology, S.C.B. Medical College and Hospital, Cuttack, Odisha, India
  • Shradhanjali Sahoo Department of Obstetrics and Gynecology, S.C.B. Medical College and Hospital, Cuttack, Odisha, India
  • Pravat Chandra Das Department of Obstetrics and Gynecology, S.C.B. Medical College and Hospital, Cuttack, Odisha, India

DOI:

https://doi.org/10.18203/2320-1770.ijrcog20180881

Keywords:

Abnormal uterine bleeding (AUB), Dysfunctional uterine bleeding (DUB), Menorrhagia, Oligomenorrhoea, Thyroid dysfunction

Abstract

Background: The objective of the study was to evaluate the prevalence of thyroid disorder in dysfunctional uterine bleeding and to assess the menstrual pattern in women with thyroid disorders.

Methods: The present study was conducted on 104 patients who presented with dysfunctional uterine bleeding in gynecology OPD/IPD Department of Obstetrics and Gynecology, SCBMCH, Cuttack, India.

Results: Among the 104 women 16 (15.3%) had hypothyroidism, 3 (2.8%) had hyperthyroidism and 75 (72.1%) were euthyroid and 10(9.6%) subclinical hypothyroidisim. Menorrhagia was the most common menstrual disorder in hypothyroidism and oligomenorrhoea in hyperthyroidism. In the present study the age group of 41-50 year and multyparity (para-2) and commonest are menorrhagic 42 (40.38%). Menorrhagia in hypothyroidisim 15 (72.4%) cases and oligomenorrhoea in hyperthyroidisim 3 (10.3%).

Conclusions: Thyroid dysfunction should be considered as an important aetiological factor in menstrual disturbances and thyroid assessment should be done in all patients with menstrual irregularities. Therefore, to conclude any type of menstrual abnormality should be considered as a possible presenting symptom of thyroid dysfunction and it may even indicate subclinical abnormality, evaluation of thyroid would avoid unnecessary surgeries and exposure to hormones.

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Published

2018-02-27

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Original Research Articles