Abstract

CLINICAL EVALUATION OF THYROID DYSFUNCTION IN WOMEN WITH ABNORMAL UTERINE BLEEDING: A CROSS SECTIONAL STUDY BASED ON OBSTETRIC GRAVIDITY-PARITY INDEXING

Chelle Laxmiprasanna*, Chiluka Purvi, Dara Harika, Chethireddy Rajasimha, Cheganti Rahul, Dr. Pratap Shankar Devi Sai Prakash and Dr. Meesala Gowthami

ABSTRACT

Background: A common gynaecological issue that affects women of all reproductive ages is abnormal uterine bleeding (AUB). Although thyroid insufficiency is known to affect menstruation patterns, little is known about how it relates to AUB across various gravidity and parity statuses. Objective: To assess thyroid dysfunction's frequency and pattern in women who report with AUB and examine how it relates to obstetric gravidity-parity indices. Methods: A cross-sectional study of women with AUB who were between the ages of 18 and 60 was carried out in a hospital. Comprehensive medical, obstetric, and menstrual histories were documented. Serum levels of T3, T4, and TSH were measured, and gravidity and parity were classified. Using conventional reference values, women were categorised as either hyperthyroid, hypothyroid, or euthyroid. Thyroid dysfunction was correlated with gravidity-parity patterns using statistical analysis. Conclusion: Thyroid dysfunction, especially hypothyroidism, is prevalent in women with AUB and shows a notable association with increased gravidity and parity. Routine thyroid screening should be considered in the diagnostic workup of AUB, particularly in women with higher obstetric indices, to enable early detection and appropriate management.

Keywords: Abnormal uterine bleeding, Hypothyroidism, Thyroid, Pregnancy, Menorrhagia, Oliogomenorrhea.