Author(s):
Shruthi K, Ashok Kumar K, Sreelatha S, Summayya Sena, Razia Begum, Pooja, Prashanth
Abstract:
Background: Abnormal uterine bleeding is the most common problem seen in patients attending the gynecology OPD. Incidence of AUB is 9 to 14%. Thyroid dysfunction causes broad spectrum of reproductive disorders and is one of the causes noted for abnormal uterine bleeding. Thyroid disorders are 10 times more common in women. Therefore, this study is to assess the menstrual and endometrial patterns in women with thyroid disorders.
Aims and objectives 1. To assess the menstrual patterns in women with thyroid disorders. 2. To assess the endometrial patterns in women with thyroid disorders.
Methodology: This is a descriptive study conducted in department of OBG, ESIC-PGIMSR Bengaluru. 100 patients with signs and symptoms of thyroid dysfunction will be taken. Patients will be grouped into 3 categories- hyperthyroid, hypothyroid and Subclinical hypothyroidism. Menstrual pattern in these patients are studied. Selected patients in peri-menopausal age group with thyroid dysfunction will be subjected to endometrial biopsy.
Results: Most common thyroid dysfunction is hypothyroidism seen in 60% of the patients. Most common menstrual irregularity is menorrhagia seen in 51% of the patients. In hypothyroidism patients menorrhagia is seen in 48.3%, in hyperthyroidism, menorrhagia is seen in 35.3% and in subclinical hypothyroidism it is seen in 69.6%of patients. Most common endometrial pattern is simple hyperplasia without atypia seen in 50% of the patients.
Conclusion: The present study concludes that there is a strong association between thyroid dysfunction and menstrual irregularities. Thyroid profile should be used in the screening of all the women with abnormal uterine bleeding. If thyroid dysfunction is timely detected and corrected, then menstrual irregularities will settle and unnecessary interventions like endometrial curettage and surgery could be avoided.
