Role of thyroid abnormality in perimenopausal abnormal uterine bleeding

Sonali Abhinav Deshmukh, Jyotsna Deshmukh, Athulya Surendran
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Abstract

Background: Diagnosing and treating abnormal uterine bleeding (AUB) presents special problems during the perimenopausal era, which often need for a thorough study of contributory variables. Comprehending the relationship between perimenopausal AUB and thyroid function has important therapeutic ramifications that might influence customized treatment plans and enhance patient outcomes. Methods: This prospective research sought to determine the significance of thyroid anomalies in perimenopausal AUB. It was carried out at the Department of Obstetrics and Gynecology, Rajashri Chatrapati Shahu Government Medical College, and Chatrapati Pramila Raje hospital. Data was carefully collected over a 6-month period, from April to September 2018, and placed into excel spreadsheets for statistical analysis. The goal of the research is to clarify the connection between perimenopausal AUB and thyroid dysfunction by using the proper statistical tests. Results: Out of 120 individuals with severe menstrual bleeding, 80 had hypothyroidism. Hyperthyroidism affected 45 hypomenorrhea and irregular menstrual cycle individuals. Thyroid issues are commonly ignored, and patients are given estrogen progesterone tablets without thyroid function testing. Conclusions: By providing insights into its complex etiology and opening the door for more focused therapy approaches in this patient population, this study aims to further our understanding of AUB.  
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甲状腺异常在围绝经期异常子宫出血中的作用
背景:异常子宫出血(AUB)的诊断和治疗是围绝经期的特殊问题,通常需要对相关变量进行深入研究。了解围绝经期异常子宫出血与甲状腺功能之间的关系具有重要的治疗意义,可能会影响定制的治疗方案并提高患者的治疗效果:这项前瞻性研究旨在确定甲状腺异常在围绝经期AUB中的重要性。研究在拉贾什里-查特拉帕提-沙胡政府医学院妇产科和查特拉帕提-普拉米拉-拉吉医院进行。在 2018 年 4 月至 9 月的 6 个月期间,仔细收集了数据,并将其放入 excel 电子表格中进行统计分析。研究的目的是通过适当的统计检验来阐明围绝经期AUB与甲状腺功能障碍之间的联系:在120名严重月经出血患者中,80人患有甲状腺功能减退症。甲状腺功能亢进症影响了45名月经过多和月经周期不规律的患者。甲状腺问题通常被忽视,患者在未接受甲状腺功能检测的情况下就会服用雌激素孕酮片:通过深入了解其复杂的病因,并为针对这一患者群体的更有针对性的治疗方法打开大门,本研究旨在进一步加深我们对 AUB 的了解。
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