A study of thyroid disorders in females attending obstetrics and gynecology outpatient department of a tertiary care institute of central India

Authors

  • Somen Bhattacharjee Department of Obstetrics and Gynecology, Mahatma Gandhi Memorial Medical College, Indore, MP
  • Yogendra Jamra Department of Medicine, Mahatma Gandhi Memorial Medical College, Indore, MP
  • Shiv Shankar Sharma Department of Medicine, Mahatma Gandhi Memorial Medical College, Indore, MP
  • Arti Parmar Department of Obstetrics and Gynecology, Mahatma Gandhi Memorial Medical College, Indore, MP

DOI:

https://doi.org/10.18203/2320-6012.ijrms20160906

Keywords:

Universal screening, Thyroid stimulating hormone, Abnormal uterine bleeding

Abstract

Background: The study was conducted with an objective to study the spectrum of thyroid dysfunction and to correlate clinical symptoms with abnormal thyroid function.

Methods: A total no. of 1010 women, attending the Gynecology and Medicine OPD of M.Y. Hospital, Indore, MP were subjected to screening with TSH levels estimation. The women with abnormal TSH values were then evaluated for various clinical symptoms.

Results: Out of total 1010 women, 120 had abnormal TSH. The prevalence was high (11.88%). Hypothyroidism (71.66%) was more common than hyperthyroidism (28.33%). The incidence of thyroid disorders was higher with advancing age. Abnormal TSH levels had a linear correlation with increasing BMI. Majority of the patients presented with vague symptoms commonest being weight changes (24.15%). Abnormal uterine bleeding (5.8%) and infertility (5.8%) were the chief gynecological complaints. Hypertension was strongly associated with thyroid dysfunction.

Conclusions: Thyroid dysfunction is a highly prevalent problem in female population. Estimation of TSH level is a good screening tool; however complete thyroid profile is required before initiating treatment. The incidence increases with advancing age, hypothyroidism being the more common variant. Classical symptoms may not be present in majority of patients who have a vague clinical picture. This study recommends universal screening of women for thyroid dysfunction in view of high prevalence, vague and varied presentation.   

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Published

2016-12-30

How to Cite

Bhattacharjee, S., Jamra, Y., Sharma, S. S., & Parmar, A. (2016). A study of thyroid disorders in females attending obstetrics and gynecology outpatient department of a tertiary care institute of central India. International Journal of Research in Medical Sciences, 4(5), 1320–1324. https://doi.org/10.18203/2320-6012.ijrms20160906

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Original Research Articles