In addition, there had to be one or more of the following: oligomenorrhoea
, positive progesterone, withdrawal bleeding, hirsutism/acne, obesity, and Luteinizing hormone/Follicle-stimulating hormone (LH/FSH) ratio greater than 2 or raised circulating androgen, normal thyroid stimulating hormone (TSH).
(5) In another study in slums and rural areas of Baroda, menstrual problems like menorrhagia, dysmenorrhoea and oligomenorrhoea
were also listed frequently as illnesses amongst women.
Menorrhagia and Oligomenorrhoea
were found as most common presenting symptoms.
Other presentations include oligomenorrhoea
and primary amenorrhoea.
In patients with hyperthyroidism, majority that is 3 out of 2 had oligomenorrhoea
and the next most common was hypomenorrhoea.
In the 6th month, amenorrhoea was determined in 4 (9.5%) patients, oligomenorrhoea
in 3 (7%), spotting in 8 (19%) and regular menstrual haemorrhage in 27 (64%).
It also included information regarding menstrual symptoms like menstrual cycle regularity, oligomenorrhoea
, high menstrual bleeding, amenorrhoea, blood pressure measurement, markers of metabolic syndrome and presence of insulin resistance, past history and family history.
To conclude it could be emphasised that women with POF is a condition with multiple aetiologies and needs more aggressive evaluation of oligomenorrhoea
Signs and Symptoms of Hypothyroidism Symptoms Signs * Tiredness, Weakness * Dry Coarse Skin; * Dry Skin Cool peripheral * Feeling Cold Extremities * Hair Loss * Puffy Face, Hands * Difficulty Concentrating and Feet and Poor Memory (Myxoedema) * Constipation Diffuse Alopecia * Weight Gain with Poor * Bradycardia Appetite * Peripheral Oedema * Dyspnoea * Delayed Tendon * Hoarse Voice Reflex Relaxation * Menorrhagia (Later (Woltman's Sign) Oligomenorrhoea
or * Carpal Tunnel Amenorrhea) Syndrome * Paraesthesias * Serous Cavity * Impaired Hearing Effusions Skin
, menorrhagia) and history of dysmenorrhea and dyspareunia was noted.
Hyperthyroidism in contrast is associated with a menorrhagia and oligomenorrhoea
and the decrease in flow is proportional to the severity of the thyrotoxicosis.
* It is suggested that women with early onset menorrhagia and oligomenorrhoea
attributable to thyroid dysfunction should be offered thyroid function test to detect them in subclinical stage.