scholarly journals Homoeopathy lends helping hand for patients having dysfunctional uterine bleeding associated with thyroid dysfunction - study on homoeopathic prescription based on the quality and quantity of menstrual bleeding

2021 ◽  
Vol 5 (4) ◽  
pp. 167-170
Author(s):  
Apparna Ilankumaran ◽  
Dr. Arun R Nair ◽  
Dr. Chandraja CV
Author(s):  
Usharani N. ◽  
Kaveri Shavi

Background: Dysfunctional uterine bleeding is one of the most frequently encountered condition in gynaecological practice. Thyroid hormones play a key role in the menstrual and reproductive function of women and thus thyroid dysfunction results in menstrual disturbances. The objective is to study the prevalence of thyroid disorders in patients with dysfunctional uterine bleeding.Methods: This is a hospital based prospective observational study done in the department of Obstetrics and Gynaecology, Vijayanagara Institute of Medical Sciences, Ballari. The study period is from February 2016 to August 2016. In the study, 100 patients with dysfunctional uterine bleeding were included and evaluated for thyroid abnormality.Results: Among 100 patients with DUB, thyroid disorders were prevalent in 24 % of patients. Hypothyroidism was present in 22% and hyperthyroidism in 2% of the women with DUB. The commonest menstrual complaint associated with hypothyroidism was menorrhagia, seen in 54.54% of cases. In 2 patients with hyperthyroidism one each had menorrhagia and metropathia haemorrhagica.Conclusions: Thyroid dysfunction is one of the important cause for DUB. Hypothyroidism is more commonly associated with DUB than hyperthyroidism. Evaluation of thyroid status is important in all patients with DUB to avoid unnecessary surgical interventions.


Author(s):  
Koduru Mounika

Aim: The purpose of the study was to detect thyroid dysfunction in women who had abnormal uterine bleeding Study Design: Menorrhagia was the most common type of bleeding (36%). Thyroid dysfunction was discovered in 32% of the patients (Subclinical hypothyroidism in 17%, Hyper thyroid is 11% and hyperthyroidism in 4 % of cases). The researchers looked at 100 cases of Dysfunctional Uterine Bleeding that were clinically identified at Sree Balaji Medical College and Hospital between March 2014 and August 2016. The patients in this study ranged in age from under 20 to 45 years old. The number of instances with DUB who were between the ages of 31 and 40 is 38 %. Methodology: The parity of the patients ranged from unmarried to 0-5, with the parity 2 group accounting for 37% of all DUB patients and the following assessments were made. Results: Thyroid dysfunction was most common in cases of polymenorrhagia (42.8%), menorrhagia (33.3%), polymenorrhea (28.5%), and oligomenorrhea. (26%). Thyroid dysfunction was most common in the age group 31-40 years, accounting for 77.5% of the population. In 17 % of cases, the primary thyroid malfunction was subclinical hypothyroidism. 3% of hyperthyroid patients were also oligomenorrhocic. The most prevalent thyroid disorder in metrorrhagic patients was subclinical hypothyroidism.


Author(s):  
Chaithra M. ◽  
Anitha G. S. ◽  
Savitha C.

Background: Dysfunctional uterine bleeding is abnormal uterine bleeding in the absence of any palpable pelvic pathology and demonstrable extra genital causes. Thyroid dysfunction is the systemic disease most often associated with abnormal uterine bleeding. Aim was to evaluate thyroid function test in women with DUB; to assess bleeding pattern in thyroid dysfunction.Methods: Prospective observational study was done in the department of obstetrics and gynaecology, Vanivilas hospital, Bangalore from august 2018 to July 2019. Pre structured and predesigned proforma filled. All routine blood investigations including serum T3, T4, TSH, USG were advised. These patients were categorized as euthyroid, subclinical hypothyroid, hypothyroid or hyperthyroid based on thyroid profile.Results: 0.5% belonged to the age group of 31-40 years, prevalence of subclinical hypothyroidism is 11%, there were 5.5% of cases of hypothyroidism and 1.5% case of hyperthyroidism.Conclusions: Thyroid screening must be done mandatory for all the cases of DUB and prompt response to treatment with thyroxine would avoid unnecessary surgeries, hormonal treatment, and associated comorbities.


Author(s):  
Sweety Rani ◽  
Abha Rani Sinha

Aim: To evaluate the relationship between of thyroid dysfunction and abnormal Uterine bleeding. Materials and Methods: The present retrospective hospital based study was conducted in the Department of Obstetrics and Gynecology, Patna Medical College and Hospital, Patna, Bihar from September 2016 to July 2017.110 patients with abnormal uterine bleeding of were found to be eligible for inclusion in the study. Results: Mean age of the study subjects was 32.71 years. Majority of patients was multiparous (58.2%). 40.0% of women presented with complaint of heavy menstrual bleeding. 42.7% of the study subjects were having thyroid dysfunction Conclusion: Abnormal uterine bleeding found strongly associated with thyroid related disorders. Hence the evaluation of thyroid function forms an essential component among abnormal uterine bleeding patients Keywords: Abnormal Uterine Bleeding, Thyroid Dysfunction


Author(s):  
Santosh Kumar Verma ◽  
Anita Pal ◽  
Saroj Jaswal

Background: The objective of the study was to evaluate the prevalence of thyroid dysfunction in dysfunctional uterine bleeding and to assess the menstrual and endometrial pattern in women with thyroid disorders.Methods: The present study was conducted on 200 patients who presented with dysfunctional uterine bleeding in gynecology OPD.Results: Among the 200 women 39 (19.5%) had hypothyroidism, 2 (1%) had hyperthyroidism and 159 (79.55%) were euthyroid. Menorrhagia was the most common menstrual disorder in hypothyroidism and oligomenorrhoea in hyperthyroidism. In the present study 74.3% patients had proliferative endometrium,26.3% secretory endometrium, in hypothyroid patients and secretory endometrium in 2 (1%) hyperthyroid patients. A woman with hypothyroidism, commonly presents with anovulation and unopposed oestrogen activity causes endometrial hyperplasia which may outgrow the blood supply and may cause local areas of necrosis and breakdown and produces bleeding.Conclusions: The menstrual irregularities are significantly more frequent in patients with thyroid dysfunction and menorrhagia was the commonest menstrual abnormality. The study concludes that biochemical evaluation of thyroid function should be made mandatory in all cases of abnormal uterine bleeding and this would avoid unnecessary surgeries and exposure to hormones.


Author(s):  
Sujata Singh ◽  
Shradhanjali Sahoo ◽  
Pravat Chandra Das

Background: The objective of the study was to evaluate the prevalence of thyroid disorder in dysfunctional uterine bleeding and to assess the menstrual pattern in women with thyroid disorders.Methods: The present study was conducted on 104 patients who presented with dysfunctional uterine bleeding in gynecology OPD/IPD Department of Obstetrics and Gynecology, SCBMCH, Cuttack, India.Results: Among the 104 women 16 (15.3%) had hypothyroidism, 3 (2.8%) had hyperthyroidism and 75 (72.1%) were euthyroid and 10(9.6%) subclinical hypothyroidisim. Menorrhagia was the most common menstrual disorder in hypothyroidism and oligomenorrhoea in hyperthyroidism. In the present study the age group of 41-50 year and multyparity (para-2) and commonest are menorrhagic 42 (40.38%). Menorrhagia in hypothyroidisim 15 (72.4%) cases and oligomenorrhoea in hyperthyroidisim 3 (10.3%).Conclusions: Thyroid dysfunction should be considered as an important aetiological factor in menstrual disturbances and thyroid assessment should be done in all patients with menstrual irregularities. Therefore, to conclude any type of menstrual abnormality should be considered as a possible presenting symptom of thyroid dysfunction and it may even indicate subclinical abnormality, evaluation of thyroid would avoid unnecessary surgeries and exposure to hormones.


Author(s):  
Velicheti Satya Sree ◽  
Gomathy E.

Background: AUB is a common but complicated clinical presentation and occurs in 15-20% of women between menarche to menopause and significantly affects the women’s health. Women with thyroid dysfunction often have menstrual irregularities, infertility and increased morbidity during pregnancy. The objective of present study is to find the correlation between thyroid disorders and AUB in perimenopausal women attending gynecology OPD.Methods: In the present study, Ninety patients with AUB were included and were evaluated for the cause including thyroid abnormality. Thyroid function tests were done in all patients.Results: Among 90 patients, 22 patients were diagnosed as hypothyroidism and 9 as hyperthyroidism, women with AUB 59 (65.4%) were euthyroid. Among 31 women with thyroid abnormality, heavy menstrual bleeding was seen in 14 (45.1%) women, 11 (35.4%) had Polymenorrhagia, 6 (19.3%) had oligomenorrhea. The frequent menstrual abnormality in women with hypothyroidism (22 women) was heavy menstrual bleeding in 9 (40.9%) women, 5 (22.7%) had oligomenorrhea, 8 (36.3%) had Polymenorrhagia. Out of 9 women with hyperthyroidism, 3 (33.3%) had oligomenorrhoea, 4 (44.4%) had heavy menstrual bleeding, 2 (22.2%) had Polymenorrhagia.Conclusions: AUB might be because of structural or non-structural causes. Thyroid abnormalities may present in perimenopausal women with abnormal uterine bleeding, therefore proper identification of the cause of AUB is needed to give appropriate treatment to the patient. And to avoid unnecessary surgical intervention.


2014 ◽  
Vol 3 (38) ◽  
pp. 9751-9756
Author(s):  
Mrinal Kanti Kundu ◽  
Nibedita Chattopadhyay ◽  
Sajal Kumar Mondal ◽  
Manami Roy ◽  
Manas Kumar Saha ◽  
...  

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