CROSS-SECTIONAL ANALYSIS OF INCIDENCE OF UNDERLYING HYPOTHYROIDISM IN PATIENTS PRESENTING WITH MENSTRUAL DISTURBANCES

Objective: This study hopes to investigate the underlying incidence of hypothyroidism among patients presenting with menstrual disturbances, including, but not limited to menorrhagia. Methodology: The cross-sectional analysis was conducted mutually by the department of obstetrics & gynecology and the department medicine at Liaquat university hospital, Hyderabad, a tertiary care hospital, upon a total of 380 patients from June 2016 to January 2017. Written informed consent was acquired from the patient before using the obtained data as part of this research. Results: Of the 380 patients suffering from menstrual disturbance and irregular periods, 60 patients suffered from oligomenorrhoea and 200 from menorrhagia i.e. the most common feature in the sample set. 66 of the patients had subclinical hypothyroidism, 33 had mild hypothyroidism and 112 had severe underlying hypothyroidism. Among the non-euthyroid individuals 29 had normal periods while the rest suffered from menstrual disturbances. (0ligomenorrhia: 19, Menorrhagia: 52 and others: 12). Conclusion: After careful consideration and deliberation on the obtained results, it is clear that hypothyroidism in women is frequently associated with menstrual disturbances. Also, irregularities in menstruation are often more prevalent in severer cases of hypothyroidism as compared to when the condition (hypothyroidism) is mild or moderate mild cases. The most common irregularity of menstruation was found to be menorrhagia. Keywords: Menstrual irregularity, menstrual disturbance, Hypothyroidism, Euthyroidism, Menorrhagia and Oligomenorrhia