Home|Journals Follow on Twitter| Subscribe to List

Directory for Medical Articles
 

Open Access

1

IJMPS. 2013; 4(1): 41-46


THYROID DISORDERS IN DYSFUNCTIONAL UTERINE BLEEDING (DUB) AMONG REPRODUCTIVE AGE GROUP WOMEN - A CROSS-SECTIONAL STUDY IN A TERTIARY CARE HOSPITAL IN ANDHRA PRADESH, INDIA

K. Padmaleela, Vimala Thomas, Lavanya K.M., D. Kiranmai.

Abstract
Introduction: Abnormal uterine bleeding is a common problem and its management can be complex. Thyroid hormones play a key role in the menstrual and reproductive function of women. It is recognized universally that menstrual disturbances may accompany clinical alterations in thyroid function. Both hypothyroidism and hyperthyroidism may result in menstrual disturbances. Since thyroid dysfunction is commonly prevalent in women, present study was conducted to assess the prevalence of thyroid disorders in dysfunctional uterine bleeding patients.
Aims and objectives
 To estimate the prevalence of thyroid disorders in women in reproductive age group with Dysfunctional Uterine Bleeding (DUB).
 To evaluate thyroid function tests in women with DUB.
 To assess the menstrual patterns in women with thyroid disorders.
Material and methods
Study design: Hospital based Cross sectional study. Study area: Dept. of Obstetrics and Gynecology, Government Victoria Hospital, Vishakapatnam. Study period: 1 year (Dec 2011 Nov 2012) Materials: A predesigned and prestructured questionnaire, routine blood investigation, trans-abdominal USG, endometrial biopsy, serum T3, T4, TSH. Sample size: 83. Sampling: Systematic Random Sampling. Statistical Analysis: Analyzed using Epi-info version 3.5.2
Results: Most of the DUB cases were in the age group of 35 45 years, (53%) followed by 25-34 years (31.3%) and 15.7% were in the age group of 15 24 years. Thyroid disorders were prevalent in 26.5% of the women studied. Hypothyroidism was present in 18.1% and Hyperthyroidism in 8.4% of the women with DUBs. Thyroid dysfunction was most common in women aged between 35 45 yrs i.e. (31.8%). The commonest menstrual complaint was menorrhagia which was present in 50% of the DUB cases. The most common finding in endometrial biopsy both in hypothyroid (60%) and hyperthyroid (57.1%) cases was proliferative type. Cystic Glandular Hyperplasia was found in 13.3% and secretory endometrium in 26.7% of hypothyroid patients.
Conclusions: Thyroid dysfunction is associated with menstrual disturbances (abnormal uterine bleeding). Prevalence of hypothyroidism was more common than hyperthyroidism in DUB cases. Thyroid function tests should be performed in all patients with menstrual irregularities (DUB) to avoid unnecessary interventions.

Key words: Thyroid disorders, DUB, reproductive age group



Share this Article


Advertisement
Progress in Orthopedic Science

SUBMIT YOUR ARTICLE NOW




ScopeMed Home
Follow ScopeMed on Twitter
BiblioCAM
Article Tools
eJPort Journal Hosting
About ScopeMed
License Information
Terms & Conditions
Privacy Policy
Suggest a Journal
Publisher Login
Contact Us

The articles in Scopemed are open access articles licensed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License (https://creativecommons.org/licenses/by-nc-sa/4.0/) which permits unrestricted, non-commercial use, distribution and reproduction in any medium, provided the work is properly cited.
ScopeMed is a Database Service for Scientific Publications. Copyright ScopeMed Information Services.
Scopemed Buttons