Indian Journal of Obstetrics and Gynecology Research


Thyroid Disorder and Menstrual Disorders - A tertiary care hospital based cross sectional study in Silk city Kancheepuram, South India


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Author Details: Wills G. Sheela, Vijayalakshmi P, Mohanambal, Chellatamizh M.

Volume : 4

Issue : 2

Online ISSN : 2394-2754

Print ISSN : 2394-2746

Article First Page : 171

Article End Page : 174


Abstract

Aim: 1. To estimate prevalence of thyroid dysfunction in reproductive women in rural area. 2. To correlate thyroid dysfunction with menstrual irregularity and nonresponding menorrhagia.
Study Design: Cross sectional hospital based observational study.
Material: 50 women in the age group of 15 to 45 years who presented with menstrual dysfunction in gynec OPD of SSSMC and RI, Ammapettai were enrolled study subjects, patients without menstrual dysfunction with similar parameters as study subjects were enrolled as control group.
Method: Detailed menstrual history, height, weight, BMI, USG pelvis, thyroid profile and endometrial sample were taken and compared.
Result: Commonest menstrual disorder was DUB(58%) with menorrhagia. 82% were obese, 26% had occult PCOD and 14% overt PCOD, hypothyroidism in 52% and hyperlipidemia in 12%. Proliferative endometrium was seen in 50% hypothyroid women and atrophic endometrium 2% in hyperthyroid women. 10 women had subclinical hypothyroidism.
Conclusion: Prevalence on thyroid disorder with menstrual dysfunction in our study was 64%. Prevalence of hypothyroidism was 52% and subclinical hypothyroidism 10% higher than the national average. Our center is within 40km radius of nuclear reactor at kalpakkam and surrounded by mountains. Non responsive occult menorrhagia was seen in 10% women with subclinical hypothyroidism. In control group 16% women had hypothyroidism and 72% were thyroid. To conclude thyroid dysfunction is associated with menstrual disorder’s. Prevalence of hypothyroid is more than hyperthyroid.

Keywords
: Subclinical Hypothyroidism, Menorrhagia, Overt hypothyroidism, DUB, PCOD

Doi No:-10.18231