Vineetha K K, Rao Bhamini Krishna, Archana P R, Bhat Shashikala K, Lakshmi R Vani, Bhat Rajeshwari G
Department of Obstetrics and Gynecology, Melaka Manipal Medical College, Manipal Academy of Higher Education, Manipal, Karnataka, India.
Department of Physiotherapy, Manipal College of Health Professions, Manipal Academy of Higher Education, Manipal, Karnataka, India.
Indian J Community Med. 2025 Aug;50(Suppl 1):S114-S119. doi: 10.4103/ijcm.ijcm_66_24. Epub 2025 Feb 21.
Thyroid problems and uterine fibroids (UFs) are common in women. Prior research has also documented the prevalence of thyroid abnormalities, particularly goiter and thyroid nodules, in women with UF. However, there is a lack of definitive baseline information regarding thyroid-stimulating hormone (TSH) in women with UF, especially in the Indian population. The present study aimed to analyze the TSH levels among women with and without UFs. A hospital-based retrospective pilot study of 50 premenopausal women aged 15-55 years with and without fibroids. Their TSH reports were analyzed. 100 patients who visited the Department of Obstetrics and Gynecology, Secondary Care Hospital in Coastal Karnataka, from October to December 2019 (50 each with and without UF) were screened for eligibility criteria. After all the exclusions, 38 women with UF and 26 women without UF were included. High TSH levels were found in 15 (40%) of the 38 women with UF and 8 (31%) of the 26 women without UF. However, the result was not statistically significant. This study shows an increased percentage of high TSH levels among women with UFs (40%) compared to those without UFs (31%), though statistically insignificant. Further observational studies among a large sample population are needed to evaluate the thyroid function among UF patients.
甲状腺问题和子宫肌瘤在女性中很常见。先前的研究也记录了子宫肌瘤女性中甲状腺异常的患病率,尤其是甲状腺肿和甲状腺结节。然而,关于子宫肌瘤女性的促甲状腺激素(TSH),缺乏确切的基线信息,特别是在印度人群中。本研究旨在分析有和没有子宫肌瘤的女性的TSH水平。一项基于医院的回顾性试点研究,对50名年龄在15 - 55岁的绝经前有和没有子宫肌瘤的女性进行研究。分析了她们的TSH报告。对2019年10月至12月期间到卡纳塔克邦沿海地区二级护理医院妇产科就诊的100名患者(50名有子宫肌瘤,50名没有子宫肌瘤)进行了资格标准筛查。在所有排除后,纳入了38名有子宫肌瘤的女性和26名没有子宫肌瘤的女性。38名有子宫肌瘤的女性中有15名(40%)TSH水平高,26名没有子宫肌瘤的女性中有8名(31%)TSH水平高。然而,结果无统计学意义。本研究表明,有子宫肌瘤的女性中TSH水平高的比例(40%)高于没有子宫肌瘤的女性(31%),尽管无统计学意义。需要在大量样本人群中进行进一步的观察性研究,以评估子宫肌瘤患者的甲状腺功能。