Thyroid Profile of Women Presenting With Abnormal Uterine Bleeding (AUB): A Cross Sectional Study Done At a Tertiary Care Hospital of Bihar
Keywords:Thyroid Profile, Abnormal Uterine Bleeding (AUB)
Introduction: Fifty to twenty six percent of menstrual disorders are attributed to thyroid dysfunction. The objective of this study was to study the prevalence of thyroid disorders in patient with AUB and to study the menstrual pattern in patients with thyroid dysfunction. To determine the endometrial histopathology associated with different types of thyroid dysfunction. Materials and Methods: A hospital based cross sectional study was carried out by Department of Obstetrics and Gynecology, Darbhanga Medical College and Hospital, Laheriasri, Bihar, India. The study duration was between August 2020 to January 2021 for a period of 6 months and the participants were women attending gynecological OPD with complaints of abnormal uterine bleeding. The study was performed on a sample of 100 women selected on above criteria. This study was performed after obtaining approval from the institutional ethical committee. After obtaining a written informed consent from the participants, detailed history regarding the menstrual pattern, duration and quantity of bleeding during each cycle was noted. History suggestive of thyroid dysfunction was obtained. A complete clinical examination including examination of neck for thyroid swelling and a thorough gynecological examination was performed. All the information was tabulated and analyzed using SPSS 22 version with descriptive and inferential statistics (chi square test). A P value of<0.05 was considered statistically significant. Results: The age of the study participants ranged from 22 to 63 years. The mean age was 47.8 years with a SD of 12.7 years. Almost two-third of the women was in the peri-menopausal age group. %5 of the women with nullipara, another 14% was primipara and rest was multiparous. 57% had parity of ≥ 3. Heavy menstrual bleeding was the most common menstrual abnormality found among 82% of the study participants, followed by postmenopausal bleeding and oligo/polymenorrhea. Clinical thyroid examination had positive finding only in 3 patients. Conclusion: Testing and treating for thyroid disorder would prove to be cost effective in patients with AUB particularly with non-structural causes as it would avoid many costly interventions done for AUB.
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Copyright (c) 2022 Archana Bharti, Seema Prasad, Shashi Prabha
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