MENSTRUAL DISORDERS IN THYROID DYSFUNCTION
Dr. Anju Verma*, Dr. Amrit Pal Kaur, Dr. H.K. Shergill and Dr. Sukhraj Kaur
ABSTRACT
DUB is abnormal uterine bleeding without any specific cause accounting for approximately 20% of gynaecological OPD. The activity of thyroid is closely linked with the process of ovarian maturation as the thyroid is dependent on direct and indirect stimuli from the ovary to discharge its own functions. The aim of the study was to study the thyroid dysfunction in patients presenting with dysfunctional uterine bleeding(DUB) and prevalence of menstrual disturbances in thyroid disease. This cross sectional study comprised of 100 women in 15-45 years of age group attending gynaecological OPD of Government Medical College, Amritsar. In Group A, 50 women with DUB were studied for thyroid profile and 50 women in group B with thyroid dysfunction were looked for any menstrual abnormality. Menorrhagia, the most common menstrual abnormality found and prevalence of hypothyroidism was 38% in DUB cases. In all hypothyroid women, 29.7% had menorrhagia. Proliferative endometrium was more in hypothyroid than hyperthyroid cases showing association with anovulatory cycles. Thus concluding that thyroid dysfunction is an important cause of menstrual abnormality and its assessment and treatment should be done in all patients to avoid unnecessary surgical intervention.
Keywords: Dysfunctional uterine bleeding, Menorrhagia, Hypothyroidism.
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