Research Article
Volume 10 Issue 11 - 2021
Study of Thyroid Dysfunction in Patients with Menstrual Disorders
Shweta Mehta1*, Shubha Pande2 and Krishna Mukherjee3
1MBBS, DNB Resident, Department of Obstetrics and Gynaecology, Kamla Nehru Memorial Hospital, Prayagraj, India
2Senior Consultant, Department of Obstetrics and Gynaecology, Kamla Nehru Memorial Hospital, Prayagraj, India
3Medical Superintendant, Chief Consultant, Kamla Nehru Memorial Hospital, Prayagraj, India
*Corresponding Author: Shweta Mehta, MBBS, DNB Resident, Department of Obstetrics and Gynaecology, Kamla Nehru Memorial Hospital, Prayagraj, India.
Received: September 07, 2021; Published: November 30, 2021




Abstract

Objectives: To categorise the patients into 4 categories- Euthyroid, Subclinical hypothyroid, Hypothyroid, Hyperthyroid.

To determine the type of Menstrual bleeding pattern in relation to different thyroid disorders.

Methods: This study is a prospective observational (non-interventional) study undertaken in the Department of Obstetrics and Gynaecology, K.N.M.H, Allahabad from July 2019 to June 2020. A total of 100 patients attending the inpatient and outpatient department of obstetrics and gynaecology department in the age group of 15 - 45 years with complaints of menorrhagia, oligomenorrhea, polymenorrhea, amenorrhea and hypomenorrhea fulfilling the inclusion criteria and exclusion criteria were included in the study and categorized into 4 groups: euthyroid, hypothyroid, subclinical hypothyroid, hypothyroid and hyperthyroid respectively and then comparison among all the groups were done with respect to age, parity, BMI, TSH, FT3, FT4 levels and histopathological findings.

Results and Interpretation: All the groups were comparable in terms of age, parity, BMI and family history although the majority of cases of AUB was found in the age group of 36 - 45 years. Subclinical hypothyroidism was found to be the most prevalent thyroid disorder (18%) with menorrhagia as the most common menstrual disorder (n = 12, 66.67%). Hyperthyroid patients (n = 2, 2%) had oligomenorrhea (n = 2, 100%) as the most common complaint.

Conclusion: There is high incidence of thyroid diseases in patients of AUB in the present study. Evaluating for thyroid and treating it medically which was most accurate and cost effective and unnecessary surgery was avoided. Hence the thyroid function evaluation should be mandatory in cases of DUB to detect thyroid dysfunction and these cases should be referred to physician for further medical treatment.

Keywords: Hypothyroidism; AUB; Hyperthyroidism; Menorrhagia; Subclinical Hypothyroidism; Thyroid Dysfunction; Oligomenorrhea

References

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  2. Morana B., et al. “Dysfunctional uterine bleeding medical therapies”. Minerva Obstetrics and Gynecology – Journals3 (2003): 241-251.
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  4. Poppe K., et al. “Thyroid disease and female reproduction”. Clinical Endocrinology3 (2007): 309-321.
  5. Steiner RA and Fink D. “Abnormal menstrual bleeding”. Schweizerische Rundschau fur Medizin Praxis = Revue Suisse De Medecine Praxis 91 (2002): 1967-1974.
  6. Deshmukh PY., et al. “The association of thyroid disorders with abnormal uterine bleeding”. International Journal of Reproduction, Contraception, Obstetrics and Gynecology 4 (2015): 701-708.
  7. Chaturvedi Dr. “Study of Thyroid Disorders in Women with AUB in A Medical College in Rural Area of Jabalpur (M.P.)”. Journal of Medical Science and Clinical Research10 (2018): 121.
  8. Kumar AHS and Saravanan S. “A study of prevalence of thyroid disorders in patients with abnormal uterine bleeding (AUB)”. International Journal of Reproduction, Contraception, Obstetrics and Gynecology 6 (2017): 1036-1039.
  9. Ezhil R., et al. “Thyroid disorders in women with abnormal uterine bleeding: a tertiary hospital based cross sectional study from Puducherry, India”. International Journal of Reproduction, Contraception, Obstetrics and Gynecology 7 (2018): 1532-1436.
  10. Khatiwada S., et al. “Pattern of Thyroid Dysfunction in Women with Menstrual Disorders”. Clinical Chemistry and Laboratory Medicine1 (2016): 3-6.
Citation: Shweta Mehta., et al. “Study of Thyroid Dysfunction in Patients with Menstrual Disorders”. EC Gynaecology 10.12 (2021): 109-114.

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