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Function of thyroid gland and ovaries are interrelated .
By Dr Purnima Shukla, India.
Presented at 18th AHML & 8th International Conference on Homeopathy
& Compleentary Medicine 4-5th Oct 2009 at Kuala Lumpur, Malaysia.
Abnormalities in thyroid function can alter the ovarian function resulting in menstrual disturbances and infertility .
With these considerations present study has
been conducted on 45 cases of infertility at “Purte Priya Memorial” Sri Ram
Medical & Research Centre, Gorakhpur (U.P.) . Out of which 40 were of
primary infertility and 5 cases of secondary infertility . All the cases were
within their reproductive age group with maximum cases in 21-25 years of
age group .
In 40 cases of primary infertility 19 cases (47.5%) had euthyroid level
and 9 cases (22.5%)had high levels and 12 cases (30%) had lower levels .
Out 5 secondary infertility cases 40% had euthyroid levels and 20% had
high levels and 40% had lower levels .
On studying the pattern of menstrual flow in relation to thyroid levels.
It was noticed that majority of cases with high levels of T3, T4 were having
regular menses with scanty flow / amenorrhoea (70%) . Cases with low
levels of T3,T4 has menorrhagia (50%) metrorrhagia (14.282%) where as
euthyroid cases have regular menses with average flow .
Premenstrual endometrial biopsy study in relation to thyroid
hormones it was observed that out of 10 Hyperthyroid cases . 1 case (10%)
had proliferative phase 2 cases had atrophic endometrium where as in14
hypothyroid cases 10 cases were of proliferative phase .1case of atrophic
endometrium meaning thereby a higher incidence of anovulatory cycles in
thyroid disorders .
Medicines were selected on the basis of symptom - similarity with
important drugs such as Thyroidinum, Spongia tosta., Nat. Muir, Calc.
iodide & Fucus ect . All the cases were followed at regular interval . Relief
in 5 cases of menorrhagia were observed in subsequent cycles .Where as in
metrorrhagia (7cases) in 3rd cycle after treatment . In 3 cases of secondry
amenorrhoea therapeutic response was observed in 1 case only .
Out of 12 cases of primary infertility with hypothyroidism . 4 cases
conceived after 6-9 months of therapy and 3 cases after 12-15 months . In
remaining 5 cases 2 cases still under treatment and in 3 cases further follow
up was not possible as they did n’t turn up . Out of 9 cases of primary
infertility with hypothyroidism . 5 cases conceived in 18-42 months of
treatment . 4 cases are still continuing the treatment .
In 5 cases of secondary infertility 2 cases with hypothyroid 1 case with
hypothyroid levels responded to treatment after 12-18 months . In remaining
2 cases with normal thyroid levels and non responsive to treatment other test
were advised to rule out genital tract tuberculosis anti sperm antibody titre
and endometrial glycogen content etc. and means which tuberculinum and
relevant medicines are given in hope to get response .
Key words :- Euthyroid, Hypothyroid, Hyperthyroid, T3, T4, TSH .
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