Role of thyroid function tests in women with abnormal uterine bleeding

Background: A relationship between the thyroid gland and the gonads is suggested by the far more frequent occurrence of thyroid disorders in women than in men and by the common appearance of goiter during puberty, pregnancy and the menopause. Both hypothyroidism and hyperthyroidism may result in menstrual disturbances. Objective of current study is to study and correlate the thyroid function tests in women with abnormal uterine bleeding. Methods: After selecting the women, informed consent was obtained. The case history and clinical examination of them were done, requested to do thyroid functioning test in fasting status in early morning and the results were evaluated. Other required investigations as per requirement were done and the patients were managed accordingly. The thyroid function tests were done by radioimmuno assays in the lab. Results: There were 170 women who were included in the study. Out of all the types of menstrual irregularities, 50% (85) presented with oligomenorrhoea. We found that 132 women had normal thyroid status while 30 women had hypothyroidism out of them, 5 had subclinical hypothyroidism. Eight women had hyperthyroidism. Conclusions: As there is high incidence of thyroid diseases in our area, women with abnormal uterine bleeding are to be screened. This would also avoid unnecessary hormonal treatment and surgery in these patients. [Int J Reprod Contracept Obstet Gynecol 2014; 3(1.000): 54-57]