Correlation of Menstrual Disorders and Thyroid Diseases Among Reproductive Age Group Women in a Tertiary Care Centre, Kimsdu, Karad

Abstract

OBJECTIVETo study the prevalence of thyroid disorders and its correlation with menstrual disorders. METHODS200 women aged between 15 and 45 years who attended Gynaecology OPD in Krishna Institute of Medical Sciences, Deemed University, Karad, were included for this cross-sectional study. The study group comprised 100 patients presenting with menstrual complaints. The control group consisted of 100 women of same age group with complaints other than menstrual disorders. Thyroid function tests, anti-TPO antibody estimation, and endometrial sampling were done in all patients. RESULTSIn patients with menstrual disorders and Abnormal Uterine Bleeding, 40% had thyroid disorders in which subclinical hypothyroidism was prevalent in 22%, overt hypothyroidism in 14%, and overt hyperthyroidism in 5% of the women. Autoimmune thyroid antibodies were present in 40% patients of women with menstrual disorders and Abnormal Uterine Bleeding. On endometrial sampling, hypothyroid patients mainly had proliferative endometrial (42.85%) whereas hyperthyroid had atrophic endometrium (60%). CONCLUSIONSThyroid dysfunction is an important causative aetiology of Abnormal Uterine Bleeding and menstrual disorders. Assessment of thyroid function should be done in all patients with Abnormal Uterine Bleeding and menstrual disorders to avoid unnecessary interventions like Dilatation & Curettage and hysterectomy.