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CLINICAL STUDY OF THYROTROPIN AND PROLACTIN LEVELS IN WOMEN WITH PRIMARY INFERTILITY

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Abstract (2. Language): 
INTRODUCTION: Infertility is defined as failure of couple to achieve pregnancy despite one year of regular unprotected sexual intercourse during reproductive age. Female factors contribute more towards infertility when compared to those of men. Hypothyroidism is the most common endocrine disorder affecting females. AIMS AND OBJECTIVES: To evaluate the impact of thyrotropin and prolactin levels on menstrual function and fertility of women with primary infertility. MATERIALS AND METHODS: The study was conducted on 240 subjects in reproductive age group (20¬40 years of age). Among the subjects, 160 were women with primary infertility and 80 were normal fertile women. Fasting venous samples on 3rd day of menstrual cycle were collected and estimation of thyrotropin and prolactin levels were done by using acculite (German) kits on semi chemiluminiscence instrument. RESULTS: The results were expressed as mean ± SD with a thyrotropin value of 2.16 ± 0.94 (in controls) and 28 ± 9.26 (in cases). Prolactin values were 12.58 ± 6.9 (in controls) and 52.9 ± 27.17 9(in cases). Both the thyrotropin and prolactin levels on comparison with cases and controls showed a significant pvalue of<0.001. CONCLUSIONS: Thyrotropin and prolactin levels showed significant difference when compared, between cases and controls which indicate that there is significant influence of hypothyroidism over serum prolactin levels which contributes to decrease in gonadotropins leading to primary infertility.
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107-113

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