الفهرس 
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Abstract
Objectives: To assess the frequency of hypothyroidism among menorrhagic women attending Munshaat Sultan family health center and to assess the effect of thyroid hormone on improving menorrhagia criteria. Background: Menorrhagia is a very common complaint among women. The prevalence of menorrhagia is estimated at 11–13% in the general population and increases with age. There is a causative association between hypothyroidism and menorrhagia. Hypothyroidism is considered a correctable cause of menorrhagia. All women with unexplained menorrhagia should be tested for thyrotrophin releasing hormone.
Methodology: A cross-sectional study was conducted on 250 menorrhagic women, recruited from Munshaat Sultan family health center, Menouf district, Menoufia governorate, Egypt. The studied participants were evaluated through comprehensive medical history, clinical examination, laboratory (serum free T4 and TSH) and radiological (local vaginal and thyroid ultrasound) investigations to assess criteria of menorrhagia, symptoms, and signs of hypothyroidism. Hypothyroid patients received thyroid hormone, iron, and tranexamic acid for three months then menorrhagia was reassessed subjectively and objectively.
Results: The study revealed that the frequency of hypothyroidism among the studied menorrhagic women was 17%, subclinical hypothyroidism represented 83% and Overt hypothyroidism represented about 17%. There was statistically significant difference between menorrhagic patients with and without hypothyroidism as regards subjective and objective assessment of menorrhagia criteria. Treatment with thyroid hormone showed improvement of menorrhagia criteria subjectively and objectively.
Conclusion: hypothyroidism is a frequent abnormality in menorrhagic women that need to be highlighted as a correctable cause of menorrhagia.