Abstract

Menstrual abnormalities including heavy menstrual bleeding is a common complaint received in gyne outpatient, as it was estimated to be encountered in 20% of cases and though underlying causes are multiple and have a wide spectrum, including dysfunctional uterine bleeding, however among endocrine disorders, thyroid hormone disturbances are the most common. Thyroid hormone is an important contributor to menstrual disturbances through its effect both on ovaries in a direct way, or on SHBG indirectly.The objectives isStudying the prevalence of thyroid disorders, particularly subclinical hypothyroidism among patients with menstrual disturbances and describing the most common type of menstrual disturbance associated with this thyroid disorder. This is a cross sectional study for patients attending the gyne outpatient in the period between March 2021 and March 2022 with a complaint of menstrual disorders. The results showed that patients of the study sample were in the age range of 21- till 45, Apparently, the incidence of menstrual disturbances was increasing with increasing age of patients. Patients of the study sample were all selected among those with BMI falling between normal and overweight group. Once again within the selected BMI range, the prevalence of menstrual disturbances was increasing with increasing BMI. Regarding parity, menstrual disorders were encountered among patients of all parity categories, but again with increasing incidence with the increase in the parity. In conclusions Menstrual disorders, it is one of the most common problems encountered at the gyne outpatient, are encountered in a directly increasing frequency with patients’ age, parity and BMI, with menorrhagia being the most frequently seen presentation

Keywords

BMI, SHBG, GYNE