Abstract
Background: Thyroid gland is one of the most important vital endocrine gland and is essential for growth, development, metabolism and function of almost all organs of our body.. Thyroid dysfunctions both hypothyroidism and hyperthyroidism can lead to menstrual disturbances and infertility. AUB is one of the most common clinical presentation in gynaec OPD, prevalence being 10-20% of women from puberty to menopause. This study is aimed at detecting thyroid dysfunction in patients with provisional diagnosis of AUB
Methods: This study was conducted in the Department of Obstetrics & Gynecology, Sukh sagar medical college & Hospital, Jabalpur. 140 women presented with AUB presenting to gynec OPD were recruited in the study. After taking Complete history of all recruited a thorough general physical examination along with pelvic examination was carried out. Basic routine investigations and T3, T4, TSH was performed by in all patients.
Results: In AUB cases 24.2% were diagnosed with thyroid disorder of which subclinical hypothyroidism was most common .Most common presentation of AUB was menorrhagia (41.4%) . Thyroid dysfunction with AUB was commonest in age group of ≥45 years (33%). Most common presentation being menorrhagia in all age groups except 35-45 years, where Oligo/hypomenorrhoea was more common.
Conclusions: Both subclinical hypothyroid and p hypothyroid cases together were the commonest thyroid dysfunction and menorrhagia was their commonest menstrual abnormality. So this study concludes that, biochemical evaluation of thyroid functioning should be made mandatory in all provisionally diagnosed cases of DUB to detect thyroid dysfunction.
Keywords: Thyroid dysfunction, Hypothyroidism, Subclinical hypothyroidism, Hyperthyroidism, Menstrual disorders.
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Corresponding Author
Dr Rohit Chaturvedi
Add.: Chaturvedi Niwas,1202/3 Gwarighat Road, Namada Nagar Jabalpur 482008, India
Mobile no: 9479782570, 942581603, Email: This email address is being protected from spambots. You need JavaScript enabled to view it.
DOI: https://dx.doi.org/10.18535/jmscr/v6i11.121
