Synergism of Hypothyroidism and Hyperprolactinemia to impact on efficiency of menstrual cycle and ovulatory status

This study aimed to determine the relationship of thyroid hormone disturbance and prolactin over production to impact on the menstrual irregularities anovulation .This study were carried out in Al-Karama teaching hospital and included (47) primary infertile women, (30 ) of them were with hypothyroidism , the patients aged between (18-40). This study extended from February to June 2017. The hormonal assay of TSH, FT3, FT4 ,FSH , LH and PRL that revealed :- There were high significantly (p 0.01) increased in TSH concentrations , significantly (p 0.05) decreased in levels of FT3 and FT4. Gonadotropins hormones recorded significantly ( p 0.05) decreased in levels of FSH and non significantly increased in levels of LH. Prolactin concentrations that obtained revealed to significantly (p 0.05) increased in patients with hypothyroidism . This study reported there were (70%) of hypothyroidism patients with menstrual disturbance. We concluded , that hypothyroidism and Hyperprolactinemia commonly related and synergized to menstrual irregularities and ovulatory failure.