Thyroid Disorders among Reproductive Age Group Women with Abnormal Uterine Bleeding

Background: AUB is any abnormal uterine bleeding in the absence of any palpable pelvic pathology and demonstrable extra genital cause. AUB is responsible for 10% of gynaecological complaints. The objective of this study was to assess the patterns of thyroid disorders among reproductive age group women with abnormal uterine bleeding. Methods: The present study was conducted in the department of obstetrics and gynecology, Govt medical college Kottayam, Kerala, India 400 women of reproductive age group between 18-45 years women with menstrual disorders like heavy menstrual bleeding, irregular cycles, prolonged bleeding, light bleeding, frequent cycles infrequent cycles and quantitative determination of T3, T4 and TSH values. Results: About 400 women participated in the study in which most of the subjects belong to mean age of 32 years. Maximum patients included in parity 2 about 185. Commonest bleeding pattern is heavy and prolonged bleeding that is 26 and 26.6% respectively. Out of 400 patients, 105 patients had thyroid abnormality. Of which 54 were diagnosed as subclinical hypothyroidism, 29 had hypothyroidism and 13 had hyperthyroidism 9 patients had subclinical hyperthyroidism. The frequent menstrual symptoms associated with hypothyroidism and subclinical hypothyroidism was heavy and prolonged bleeding. Light and short bleeding pattern detected in patient with hyperthyroidism. Conclusion: Any type of menstrual disorder should be considered as a possible presenting symptom of thyroid dysfunction thyroid assessment deemed necessary in such cases, so that we can treat patients at the earliest and prevent morbidities in later life.