CONSIDERATION OF THYROID DYSFUNCTION FOR MENSTRUAL ABNORMALITIES IN PREMENOPAUSAL WOMEN

Abstract

Source of Funding: Self Conflicts of interest: None DOI: 10.16965/ijims.2018.116 Abnormal Uterine Bleeding (AUB) is one of the most frequently encountered conditions in women, it has been recognized that thyroid dysfunction may have profound effects on the female reproductive system, menstrual disturbances and cause of excessive puberty bleeding. Hence this study is to evaluate the thyroid function in patients having abnormal uterine bleeding from age group of 20 to 40 yrs with 100 AUB patients which will help in further management and also know the prevalence of thyroid disorders in abnormal uterine bleeding. Out of 100 patients 42 women with thyroid abnormality, heavy menstrual bleeding was seen in 21 (50%) women, 11 (26.19%) had Polymenorrhagia, 10 (23.81%) had Oligomenorrhoea, in women with hypothyroidism (30 women) was heavy menstrual bleeding in 17 (56.67%) women, 6 (20%) had Oligomenorrhoea, 7 (23%) had Polymenorrhagia, and in 18 women with hyperthyroidism, 10 (55.56%) had heavy menstrual bleeding, 4 (22.22%) had oligomenorrhoea, 4 (22.22%) had Polymenorrhagia. So that clinicians should consider that thyroid dysfunction is as an important associated factor for menstrual abnormalities even in premenopausal women. It is important to screen all women for thyroid abnormality who are presenting with AUB especially with nonstructural causes of AUB. Correction of thyroid abnormalities also relieves AUB. This will avoid unnecessary hormonal treatment and surgery.