Study of Hypothyroidism in Women with Abnormal Uterine Bleeding

Abstract

Background: Abnormal uterine bleeding is a common problem amongst women and is associated with an array of symtomps. Hence in investigating a patient with menstrual irregularities, evaluation of thyroid functional status forms an essential component. Aim& Objective: Study was aimed to evaluate hypothyroidism in patients with AUB in the reproductive age group 15 – 45 years. Methodology: It Was a observational study. 100 cases clinically diagnosed as AUB selected from Department of Obstetrics and Gynecology, Gandhi Medical College and Hospital, Secunderabad, over a period from September 2019 to August 2020. Results: In the present study, the patients with AUB belong to various age groups ranging from 15 – 45 years, maximum no. of cases belong to 35 – 45 years(53%). Parity of patients ranged from unmarried, nullipara to para 4 and above. Maximum no. of patients with AUB belong to multipara. Commonest bleeding pattern in patients with AUB was menorrhagia (38%). Most common patients were euthyroid. Hypothyroid was found in 19% of cases. Hypothyroidism was commonest in the age group of 35 – 45 years (57.8%) and are more common with multipara (89.47%). Hypothyroidism was commonest in cases with menorrhagia (57.89%), next common was polymenorrhoea (57.78%), oligomenorrhoea (5.2%), hypomenorrhoea (5.2%) and metropathiahemorrhagica (5.2%). In AUB patients with hypothyroidism most common endometrial pattern is proliferative type (63.15%), next common secretary type of endometrium (26.31%) and cystic glandular hyperplasia (10.52%). Conclusion: The present study is done to find the association of hypothyroidism with AUB, as there is a high incidence of hypothyroidism in our area, these evaluations of thyroid in AUB would also avoid unnecessary surgeries, exposure to hormones and early diagnosis will help in early intervention and good outcome.