Prevalence of thyroid disorders in women with abnormal uterine bleeding

Abstract

Introduction: Abnormal uterine bleeding (AUB) is a common problem faced by most of the women. It has a physical and emotional impact on women, potentially reducing their quality of life. The thyroid gland is essential for proper functioning of the female reproductive system. Thyroid dysfunction can cause a variety of menstrual irregularities and have an impact on fertility. Aim: To study the prevalence of thyroid disorders in women with abnormal uterine bleeding. Materials and Methods: A cross sectional observational study was conducted after obtaining Ethics Certificate with 157 AUB cases which were selected through Simple Random sampling method. All the study population were tested for serum thyroid stimulating hormone (TSH), serum Triiodothyronine (T3), and serum thyroxine (T4). Results: In this study, 32.5% of cases had hypothyroidism, and 2.6% cases had hyperthyroidism. The age group of 41-50 years were most (52.2%) commonly affected. Of the total, 56.1% of cases were of para 2 and 31.2% cases were of parity ≥3. The most common AUB pattern among hypothyroidism and euthyroidism cases was menorrhagia, 74.6% and 55.9% respectively. Conclusion: Thyroid dysfunction was observed among 35.1% of AUB.