DOI: 10.36347/sjams.2015.v03i07.049

Pages: 2688-2692

Abnormal uterine bleeding is a frequently encountered condition in gynaecology. Although rarely lifethreatening, they can cause major social, psychological and occupational upset. Thyroid abnormalities have been suggested as a probable cause of abnormal uterine bleeding. Menstrual disturbances may accompany and even may precede thyroid dysfunction and may accompany clinical alterations. The present study was carried out to find out the different patterns of menstrual abnormalities associated with thyroid disorders and to determine the type of AUB pattern in relation to the different thyroid disorders. A hospital-based prospective observational study was carried out in the department of Obstetrics and Gynaecology, Gauhati Medical College and Hospital, Guwahati, during the period from 1st June 2014 to 31st May 2015. 100 females who presented with AUB and were found to have thyroid dysfunction were recruited in this study. Exclusion criteria were given, e.g. pregnancy, IUCD, cervical or uterine malignancy, fibromyoma, polyp, etc. It was found that maximum number of patients was in the age group of 31-40 years (37%). Menorrhagia (42%) was found to be the commonest presenting abnormal uterine bleeding pattern. Majority (71%) were hypothyroids. 53.5% cases of hypothyroids had menorrhagia and 58.6% cases of hyperthyroids had oligomenorrhoea, making menorrhagia and oligomenorrhoea to be the commonest bleeding pattern in hypothyroidism and hyperthyroidism respectively. Thus the study concludes that biochemical evaluation of thyroid function should be made mandatory in all cases of AUB.