The New Indian Journal of OBGYN. 12(1):93-96

Evaluation of thyroid abnormality in perimenopausal females with gynecological complaints

Sasindra K Das, Tanma S Das, Anjuman F Chowdhury

ABSTRACT

Background: Thyroid disorders are common in the elderly women and most of these women present to gynaecology OPD with menstrual irregularities. Objectives: To detect the prevalence of thyroid dysfunction in perimenopausal women with gynaecological complaints and to find out relationship of thyroid abnormalities with menstrual irregularities in women of perimenopausal age group. Materials and methods: In the present study, 150 women of perimenopausal age group were evaluated for their symptoms and thyroid function status between the period of 1st May 2020 to 30th April 2021, and any relation between their menstrual patterns were studied. Results: The overall prevalence of thyroid abnormality in our study population was found to be 43.33%. Prevalence of overt hypothyroidism is 18% (27 out of 150). Prevalence of subclinical hypothyroidism is 20% and that of hyperthyroidism is 5.33%. Majority of patients (60.67%) in the study population presented with menstrual complaints. Menorrhagia or heavy menstrual bleeding (HMB) was the most frequent menstrual complaint present in 21.33% of the total cases. However, 42.67% cases in the study had normal menstrual pattern. Conclusion: The prevalence of thyroid disorders increases with age. Most of the perimenopausal females with thyroid function abnormality present with menstrual irregularities.