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Jameson, J.L. and Weetman, A.P. (2012) Disorders of the Thyroid Gland. In: Longo, D.L., Kasper, D.L., Jameson, J.L., Fauci, A.S., Hauser, S.L. and loscalzo, J., Eds., Harrison’s Principles of Internal Medicine, McGraw Hill, New York, Volume 2, 2913,2914,2917,2918.

has been cited by the following article:

• TITLE: Increasing Prevalence of Osteoporosis, Hypothyroidism and Endogenous Estrogen with Germ Cells

  AUTHORS: Elizabeth Jeya Vardhini Samuel, Nagarajan Natarajan, Sivakumar Periasamy, Joseph Vimal, Sanjoy George, Gouthaman Thiruvenkadam

  KEYWORDS: Contraception Reversal, Smashed Fragmentation of Germ Cells, Reduced Endogenous Estrogen, Germ Cells Replant Effect

  JOURNAL NAME: Open Journal of Rheumatology and Autoimmune Diseases, Vol.4 No.3, August 5, 2014

  ABSTRACT: Background: Women were expressing disabling low back aches and weight gain attributing to puerperal sterilization, when contraception implementation as Family Welfare Program was progressing between ~1983 and ~1989. Hence we sought to identify any correlation existing with contraception. Methods: We performed a retrospective analysis of prevalence of osteoporosis and hypothyroid status, in 350 patients of 20-35 years, 35-50 years, >50 years age groups, from data collected by convenient, stratified random sampling of different geographical locations, between 1995-2012. We also analyzed its association with presence or absence of contraception and abortion. Simultaneously, serum estrogen levels obtained from 105 patients were also analyzed. Results: ~15-25 fold increase in osteoporosis was seen in contraceptive users with a p value of 20->50 years age group; we also found a 6 fold increase in hypothyroidism among contraceptive users aged >35 years [p 20 years age group [p 50 years age group [p