Publication: Prevalence of Thyroid Disorders in Women of Reproductive Age Group with Abnormal Uterine Bleeding
Date
2025
Journal Title
Journal ISSN
Volume Title
Publisher
Rapti Academy of Health Sciences (RAHS)
Abstract
Abstract:
Introduction: Abnormal uterine bleeding (AUB) is one of the most common presentations in the outpatient gynecological department. Numerous mechanisms, including thyroid hormone, controls the physiology of menstruation. Assessing thyroid function is essential for definitive management. Objective of study is to analyse and find thyroid dysfunction among patient of AUB.
Methods: This study is hospital based descriptive cross sectional conducted at Kathmandu Medical College, Kathmandu, a tertiary centre. Study period was 14 months from December 1st, 2021 to January 2nd, 2023. Study include 126 patients meeting inclusion criteria. TFT was done in eligible under inclusion criteria. Prevalence of thyroid disorder and pattern of AUB associated with specific type of thyroid disorder was noted.
Results: 126 patients presented with AUB. Women over 40 years had highest prevalence of AUB (41.26%; 52 out of 126). In multipara, prevalence was 60.31% (76 out of 126 cases). Most prevalent pattern in AUB was Menorrhagia i.e 53.17% of cases (67 out of 126). 35 out of 126 cases (27.77%) had thyroid dysfunction. Of them, hypothyroidism was most prevalent occurring in 26.08% cases (34 out of 126). 1 out of 126 cases (0.79%) had hyperthyroidism. Majority of subclinical hypothyroidism (48.3%) was discovered in menorrhagia.Thyroid dysfunction was caused by non-structural causes AUB in 65.71% patients (23 out of 35). Types of thyroid disorders and causes of bleeding were shown significantly correlated (p=0.048).
Conclusion: TFT can be routine test during evaluation of AUB to avoid unnecessary hormonal exposure and surgeries.
Description
Ranjana Yadav
Department of Obstetrics and Gynaecology, Nepal Police Hospital, Panipokhari, Kathmandu
Usha Shrestha
Department of Obstetrics and Gynaecology, Nepal Police Hospital, Panipokhari, Kathmandu
Punam Pathak
Department of Obstetrics and Gynaecology, Nepal Police Hospital, Panipokhari, Kathmandu
Jyotshna Sharma
Department of Obstetrics and Gynaecology, Kathmandu Medical College Private Limited, Sinamangal, Kathmandu
Durga Thapa
Department of Obstetrics and Gynaecology, Kathmandu Medical College Private Limited, Sinamangal, Kathmandu
Keywords
AUB, hypothyroidism