Ukuba ibhinqa likhalaza malunga nokuhluleka komjikelezo, i-gynecologist enamava iya kuyithumela ngokukhawuleza, okokuqala, ukuhlolwa kwi-endocrinologist. Umgca wenyani kukuba ama-hormone aveliswa yi-thyroid gland ayenaxanduva lokusebenza ngokuqhelekileyo kwezitho zokuzala kumzimba wesetyhini. Ukuba imvelaphi ye-hormonal iyakulungeleka, ngoko amalungu "amabhinqa" asebenza ngendlela echanekileyo necacileyo. Ukuchithwa kwalo, kwindawo yokuqala, kubangela ukulibaziseka kwimihla. Oku kudla ngokuba yinye yeempawu zokuqala zokuba kukho izitenxo kwi-gland (ayifuni ukuhlangabezana nomsebenzi wabo).
Uphando loogqirha luye lwabonisa ukuba ukusuka kuma-35% ukuya kuma-80% kwabasetyhini abanezifo ezinjalo zesifo se-thyroid, njenge-hypothyroidism (ukungabikho komsebenzi we-gland), unokuphulwa okukhulu kwimijikelezo yokuya esikhathini. Abafazi abanjalo bavame ukugcina i-hypomenstrual syndrome (xa iinyanga zibuthathaka ngokubonakalayo), kunye nezinye iintlobo zesifo. I-Hypomenorrhœa yimeko apho inani elipheleleyo lokuhamba kwamakhoya liyehla (ngaphantsi kwe-25 ml.). I-Oligomenarea yilapho ubude bexesha lokunyuka buya kuncitshiswa ukuya kubini okanye kwimihla. I-Opmomenoreia ibangela ukubambezeleka, ukulibazisa kwimihla, ebonakala ngokunyuka kwithuba phakathi kwabo (iiveki ezi-7-9). I-Spaniomenorea yintlupheko apho isisu senzeke kakhulu kangako-ukususela kwi-2 ukuya kuma-5 ngonyaka. Ngokuqhelekileyo kukho iimeko apho umfazi engenayo enye ye-syndrome, kodwa udibaniso lweefom ezininzi. Kwaye isisombululo se-hypomenstrual syndrome (xa ukuya esikhathini kunobuthathaka ukususela ekuqaleni), kwaye kwesekondari (xa imeko enjalo iqhubeka ngexesha elide) kwiimeko ezininzi zichanekileyo kwisifo se-thyroid. Into engathandekiyo kukuba malunga nesiqingatha seemeko i-hypomenstrual syndrome iphelela kwi-amenorrhea-ukuphela kokuphela kwesimo.
Ukuba sithetha ngokupheleleyo malunga nomphumo we-thyroid gland kumjikelezo wowesifazane, ngoko ke ngaphezu kweengxaki ezichazwe ngasentla, ezinye ziyakhula. Ngamanye amaxesha kubonakala ngokunyuka kwindleko yokuphuma kwegazi kunye nokwanda kwithuba lokuya esikhathini. Ukusetyenziswa kwamanzi (ngokweqile) kwizifo ze-thyroid gland akuninzi kakhulu kune-amenorrhea.
Imiphumo yesifo se-thyroid (ngokukodwa i-hypothyroidism) inokukhokelela ekubeni umjikelezo wesetyhini uqala ukuhamba. Oku kukuphambuka kwinkqubo yokuzala, apho kufika ukuhamba kwexesha, kodwa akukho nto i-ovulation, okokuthi, akukho nto yokukhulelwa. Ngoko izifo ze-thyroid zingabangela ukungabikho kwempilo, oku kuba uhlalutyo olusenyukayo lwabasetyhini banamhlanje.
Nangona kukho imiphumo enokwenzeka, nayiphi na le mpazamo yomjikelo wesetyhini inokwenyulwa kakhulu kunyango. Ukumisela i-hormone ye-thyroid, ekuvumela ukuba ufezekise iziphumo ezilungileyo uze ufumane ubomi obupheleleyo. Kubalulekile ukuba abasetyhini bakhumbule ukuba umjikelezo wesini uhambelana nohlobo lwebarometer yesimo sengqondo se-thyroid. Ngoko ke nawuphi na uphulaphulo olufunekayo ukukhawuleza ufune iingcebiso kungekhona kuphela kumgqirha wamazinyo, kodwa ufumane nokuhlolwa okupheleleyo kwe-endocrinological.