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Research Paper | Obstetrics and Gynecology | India | Volume 12 Issue 3, March 2023 | Rating: 4.9 / 10
Correlation of Thyroid Disorders with Abnormal Uterine Bleeding (AUB)
Dr Shaik Khathi Jathul Khubra | Dr Keshav .G | Dr Shaik Naseem | Dr Shaik Asma
Abstract: Introduction: AUB is a common and complicated clinical entity. Thyroid disorders are the most common endocrine disorders in India with a prevalence of 26% in women and its incidence increases with age. Menstrual disturbances may accompany or may even precede thyroid disorders. We wanted to study the correlation between thyroid disorders and abnormal uterine bleeding in women of reproductive age group. Methods: This is cross - sectional study conducted on 165 subjects attending the gynecology OPD at PES Institute who fulfilled the eligibility criteria with AUB patterns, for a period of 2 years. Thorough clinical examination, ultrasonography and thyroid function tests of the patients was done. Results: In this study, maximum number of patients were in the age group of 21 - 30 years. Regarding bleeding patterns, maximum patients had complaints of menorrhagia (46.06%).77.58% of patients were euthyroid, 12.12% were subclinical hypothyroid, 17.88% were overt hypothyroid and 2.42% patients were hyperthyroid. Among both subclinical and overt hypothyroid patients, the most common menstrual irregularity was menorrhagia in 55% followed by polymenorrhagia, acyclical bleeding, polymenorrhoea, oligomenorrhoea and metrorrhagia. Among hyperthyroidism, the most common menstrual irregularity was oligomenorrhoea in 75% followed by hypomenorrhoea in 25%. Conclusion: Our study concludes that the work up of any patient with AUB should essentially consist of T3 and T4 levels along with TSH levels as a mandatory part otherwise cases of subclinical hypothyroidism may be missed if only TSH levels are measured.
Keywords: Thyroid Disorders, Abnormal Uterine Bleeding
Edition: Volume 12 Issue 3, March 2023,
Pages: 397 - 400