Thyroid dysfunctions are marked by various menstrual irregularities. Most common thyroid dysfunction among reproductive age group women is hypothyroidism. This study is being done to evaluate prevalence of menstrual and reproductive dysfunction in women of 18-45 age group with thyroid dysfunction.
Methods: The study population consisted of 200 women attending gynaecology outpatient clinic, at KIM’s medical college a teaching and referral hospital, Amalapuram. Based on inclusion and exclusion criteria study population was selected and detailed personal, demographic and gynaecological history was taken. Subjects with menstrual disorders were further investigated for subclinical hypothyroidism. Clinical test done by taking early morning sample of venous blood for T3, T4 and TSH estimation.
Results: Among 200 women under study majority were in the age group of 25-31 years (40%], 7% had infertility and 12% had history of abortions. Majority in the study group had menorrhagia (28%), dysmenorrhea (20.5%) and oligomenorrhea (16%). Among 200 women, 45 women (23.5%) detected to have a subclinical hypothyroidism.
Conclusion: The study revealed that subclinical hypothyroidism is the most prevalent thyroid disorder among females with menstrual disorder. Moreover, the prevalence of subclinical hypothyroidism was found to be the most prevalent among females suffering from menorrhagia and dysmenorrhea. There is a significant association between thyroid disorders and abnormal uterine bleeding. Measures should be taken to manage subclinical hypothyroidism in an attempt to reduce its later consequences.