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INTRODUCTION
Thyroid dysfunction is one of the common causes of
menstrual irregularities. Present study was carried
out to evaluate the thyroid function in group of
patients who were planned for hysterectomy due to
dysfunctional uterine bleeding.
AIMS AND OBJECTIVES
Evaluation of thyroid status (euthyroid, hypothyroid,
or hyperthyroid) in dysfunctional uterine bleeding
patients.
SAMPLE SELECTION
50 patients were selected from OPD/IPD in
Department of Obstetrics and Gynaecologywho
were plammed for hysterectomy due to
dysfunctional uterine bleeding.
METHODOLOGY
On the basis of clinica features, patients were
devided into 4 groups, after excluding organic
causes of uterine bleeding.
OBSERVATION
Our study included 50 cases of dysfunctional uterine
bleeding, divided into 4 groups on the basis of
clinical features.
(1) Group A (n=20) : Patients with menorrhagia.
(2) Group B (n=15): Patients with
menometrorrhagia.
(3) Group C (n=10): Patients with polymenorrhoea.
(4) Group D (n=5): Patients with intermenstrual
spotting.
Group S. T4 S.TSH
(µg/dl) (µIU/ml)
A Mean + 72.52 + 3.7 + 4.77
S.D. 2.12
Range 3.6 - 12.5 1.0 – 24.0
B Mean + 7.28 + 2.97 +
S.D. 1.99 3.41
Range 2.1 - 10.5 0.8 - 15.2
C Mean + 6.49 + 2.7 + 0.71
S.D. 1.17
Range 5.1 – 8.70 1.1 – 4.0
D Mean + 9.32 + 1.6 2.0 + 0.77
S.D.
Range 7.3- 120. 0.8 – 3.1
CONCLUSION
➢ 4% of the dysfunctional uterine bleeing patients
were hypothyroid (TSH reference range 0.4 - 6.0
µIU/ml).
➢ If we follow new recommendation by the
American Association of Clinical
Endocrinologists (AACE), (TSH reference
range- 0.3 -3.0 µIU/ml), 24% of our patients
would be hypothyroid.
➢ This study needs expantion in the form of
sample size with inclusion of control to establish
a firm association between thyroid dysfunction
and dysfunctional uterine bleeing.
REFERENCES
1. Wilansky DL, Greisman B : Early hypothyroidism in