Correlation of Thyroid Disorders with Abnormal Uterine Bleeding (AUB).
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Date
2020-02
Journal Title
Journal ISSN
Volume Title
Publisher
Akshantala Enterprises Private Limited
Abstract
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.METHODSThis is cross-sectional study conducted on 165 subjects who fulfilled the eligibility criteria in the Department of OBGY, AVBRH, Sawangi for a period of 2 years. Thorough clinical examination, ultrasonography and thyroid function tests of the patients was done. RESULTSIn 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%.CONCLUSIONSOur 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
Description
Keywords
Thyroid Disorders, Abnormal Uterine Bleeding
Citation
Kolli Sri Nayana, Agrawal Manjusha, Khithani Yogesh, Kotdawala Kanan. Correlation of Thyroid Disorders with Abnormal Uterine Bleeding (AUB).. Journal of Evolution of Medical and Dental Sciences. 2020 Feb; 9(7): 398-401