A STUDY OF THYROID PROFILE IN WOMEN WITH ABNORMAL UTERINE BLEEDING AT TERTIARY CARE CENTRE

Introduction: Thyroid gland is the most vital endocrine organ which plays a major role in growth, development, metabolism and function of almost every organ of the body. Both Hypo and Hyperthyroidism can cause menstrual irregularities. Abnormal uterine bleeding is one of the most common yet complicated clinical presentation. It occurs in 10-20% of women between 15-50 years of age. The present study was carried out to estimate the prevalence of thyroid disorders in patients with Abnormal uterine bleeding. Aims And Objectives: To estimate the prevalence of thyroid disorders in women with Abnormal uterine bleeding and to assess menstrual patterns in women with thyroid disorders. Materials And Methods: Hospital based cross sectional study including 140 cases of Abnormal uterine bleeding attending the outpatient department. History, physical examination, thyroid profile were done and results were analysed. Results: In the present study, majority of women with Abnormal uterine bleeding were in the age group of 26-30 yrs.(25.7%) followed by 20-25yrs(20%),18.5% were in 36-40 yr. group.Menorrhagia was the most common presenting symptom(78.5%) followed by oligomenorrhoea(38.6%).Most of the women were para II(42.9%). Thyroid disorder was prevalent in 20% of the study group. Hypothyroidism in 18.5% and Hyperthyroidism in 1.5% patients. Thyroid dysfunction was most common in women aged between 26-30yrs. Majority (85.8%) had menorrhagia and oligomenorrhoea (71.5%). Conclusions: All women with Abnormal uterine bleeding should undergo assessment of Thyroid function. Treatment of thyroid dysfunction in these women will avoid unnecessary interventions like hormonal treatment for arrest of bleeding and hysterectomy.