Abstract
Introduction: Abnormal uterine bleeding (AUB) is a common clinical presentation in gynecology. Method: 100 Patient of clinically diagnosed AUB were taken from gynecology OPD. Result: Out of 100 women of AUB, majority were in the age group of 31-40 years (38%), 54% were multiparous and 44% presented with menorrhagia. Conclusion: The study concludes that biochemical evaluation of thyroid function is an easy, reliable method and should be made mandatory in all cases of AUB.
Highlights
Abnormal uterine bleeding (AUB) is a common clinical presentation in gynecology
The major menstrual complaint of AUB patients was menorrhagia (44%), 20% presented with oligomernorrhoea, 16% had polymenorrhoea, and 4% had amenorrhea [Table No.3]. 65% of the patients with AUB were euthyroid, 17% had subclinical hypothyroidism and 15% were diagnosed to be hypothyroid. 3% patients had hyperthyroidism [Table No.4]
Thyroid dysfunction in AUB patients was commonest in the age group of 41-45 years (50%), followed by 47% in 31-40 year age group and 28% in less than 20 years group [Table no.5]
Summary
Abnormal uterine bleeding (AUB) is a common clinical presentation in gynecology. This study is aimed to know the prevalence of thyroid disorders amongst AUB patients and the different patterns of menstrual abnormalities associated with thyroid disorders. All the patients from 19 to 45 age groups presenting with menstrual disturbances were tested for thyroid function by measuring ST3, ST4, and S.TSH. Result: Out of 100 women of AUB, majority were in the age group of 31-40 years (38%), 54% were multiparous and 44% presented with menorrhagia. Subclinical hypothyroidism, overt hypothyroidism and hyperthyroidism were detected mostly in the age group of 31-40 years. The endometrial abnormalities may be due to incoordination in the hypothalamo-pituitary-ovarian axis It is prevalent in extremes of reproductive period-adolescence and premenopause or following childbirth and abortion [2]. Menstrual irregularity can occur if there is problem in any of these system (reproductive and endocrine)
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