Evaluation of thyroid profile in patients with abnormal uterine bleeding

INTRODUCTION: Large majority of patients present to the gynaecology OPD with complaints associated with abnormal uterine bleeding. Abnormal uterine bleeding can be with or without any organic cause. Dysfunctional uterine bleeding (DUB) is abnormal bleeding from uterine cavity without any pelvic pathology. This study was conducted to evaluate the thyroid profile in patients having abnormal uterine bleeding from puberty to premenopausal age group. AIM AND OBJECTIVES: i. To evaluate and compare the levels of T3, T4, and TSH in patients with abnormal uterine bleeding and controls. ii. To evaluate and compare the levels of T3, T4, and TSH in patients with abnormal uterine bleeding presenting with different menstrual patterns. MATERIALS AND METHODS: This study carried out in the department of Obstertics and Gyneology, SMIMS, Kulasekhram. Total 60 patients were selected and divided in to two groups. Group-I serves as controls (Without AUB), Group-II serves as cases (With AUB). All these patients were subjected to routine investigations and T3, T4, and TSH estimated. Statistical analysis was done by using SPSS (16.0) software version. RESULTS: In the present study thyroid dysfunction was found in 26% of patients with AUB. Of these 23% were hypothyroid and 3% were hyperthyroid the rest of the 74% were euthyroid. The commonest menstrual pattern seen among the patients with thyroid dysfunction was menorrhagia followed by polymenorrhagia. CONCLUSION: The study results showed that thyroid dysfunction was highly prevalent in patients presenting with AUB. Failure to evaluate the thyroid status may risk chance for missing the etiology and leads to inadvertent management. Therefore thyroid profile should form an integral part in the evaluation of all patients presenting with AUB

A successful case of rescue encerclage in the mid trimester taken upto term: a case report

Cervical encerclage has been used to treat repeated second trimester pregnancy losses. Rescue cerclage is done in cases of advanced cervical dilatation with membranes protruding into the vagina. If done correctly after proper patient selection, it can successfully prolong a nonviable pregnancy to viability. Here, we present a case report of a multiparous lady with advanced cervical dilatation at 22 weeks who had a successful rescue cerclage where the pregnancy was taken upto 38 weeks