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Subject Area

Neuropsychiatry

Article Type

Original Study

Abstract

Objective The aim of this study was to assess the frequency of hypothyroidism among menorrhagic women attending Munshaat Sultan Family Health Center. Background Menorrhagia is a very common complaint among women. The prevalence of menorrhagia is estimated at 11–13% in women in the childbearing period and increases with age. Hypothyroidism is considered a correctable cause of menorrhagia. All women with unexplained menorrhagia should be tested for thyrotrophin-releasing hormone. Patients and methods A cross-sectional study was conducted on 250 menorrhagic women, who were recruited from Munshaat Sultan Family Health Center, Menoufia District, Menoufia Governorate, Egypt, during the period from the first of January to the end of December 2016. The studied participants were evaluated through comprehensive medical history, clinical examination, laboratory investigation (serum free thyroxine and thyroid-stimulating hormone), and radiological (local vaginal and thyroid ultrasound) investigations. Results The study revealed that the frequency of hypothyroidism among the studied menorrhagic women was ~17%, subclinical hypothyroidism represented ~83%, and overt hypothyroidism represented ~17%. There was statistically significant difference between menorrhagic women experiencing hypothyroidism and those who did not regarding duration of menorrhagia in days, number of sanitary pads used daily, gush of blood during menses, staining of clothes, need for double protection, impairment of daily activities, presence of blood clots, and the amount of blood loss during menses (P < 0.001). Conclusion Hypothyroidism is a frequent abnormality in menorrhagic women that needs to be highlighted as a correctable cause of menorrhagia.

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