• Sabeen Nasir, Sara Ziaullah, Sadaf Alam, and Muhammad Mumtaz Khan.
• Dr. Sabeen Nasir, MBBS, M. Phil., Department of Pathology, Peshawar Medical College, Peshawar, Pakistan.
• Pak J Med Sci. 2020 Jul 1; 36 (5): 904-908.

ObjectivesTo study the morphological spectrum of endometrial changes with the thyroid hormone levels in infertile women.MethodsThis cross sectional study was conducted at Department of Pathology, Peshawar Medical College, Health Care Centre and Madina Medical Laboratory, Peshawar from April 2013 to August 2013. Total 160 cases of infertile women were included in the study. Biopsies were taken on 22-23rd day of menstrual cycle. Statistical Analysis was performed using SPSS version 19 statistical program. Difference between endometrial findings of patients with normal thyroid profile and abnormal one were analyzed for statistical significance using Chi square test. Probability values p ≤ 0.05 were considered statistically significant.ResultsIn our study, majority infertile women were euthyroid (80%), followed by hyperthyroid (18%) and only two% to be hypothyroid. The correlation of endometrial morphology with thyroid hormones levels turned out to be insignificant. While correlating histological details of endometrial biopsy with thyroid hormone status, we found significant association of leukocytic infiltrate with thyroid hormone levels.ConclusionThis study shows that thyroid hormones may have role in early leukocytic infiltration into stroma, and a possibility of immune modulation by altered thyroid hormones in causing infertility.Copyright: © Pakistan Journal of Medical Sciences.

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