Abnormal uterine bleeding: A study of its clinical spectrum and incidence of histopathological patterns of endometrium as a function of age with parity
Journal Title: Indian Journal of Obstetrics and Gynecology Research - Year 2018, Vol 5, Issue 3
Abstract
Introduction Abnormal uterine bleeding AUB is a common complaint affecting majority of pre and postmenopausal women Endometirum is a dynamic tissue and is affected by a wide range of histopathological lesions The causes of AUB is a function of ageAim and Objective to study the histopathological pattern in cases of AUB in reference age parity and bleeding pattern Patients were categorized into reproductive 50 yearsMaterials and Methods A total of three hundred patients presenting with AUB are included in this studyObservation and Results In this study patient ranged from 20 to 70 years and the mean age of the cohort was 4346807 Major parity category noted in the cohort was para2 in 89 patients 2967 Major bleeding pattern observed in the cohort was menorrhagia 3233 followed by metrorrhagia 1967 menometrorrhagia 1633 postmenopausal bleeding 1267 polymenorrhoea 967 polymenorrhagia 5 and continuous bleeding 1 Histopathological pattern observed in AUB patients was proliferative phase endometrium 3133 secretory phase endometrium 2167 menstrual endometrium 133 atrophic endometrium 6 disordered proliferation 333 mixed pattern 1 polyp 1067 metaplasia 967 hyperplasia 867 endometritis 267 adenocarcinoma 167 and insufficient 2Conclusion The causes of AUB are function of age perimenopausal age group is the most common affected Dilatation Curettage is cost effective useful procedure but organic lesions such as leiomyoma and adenomyosis can be missed AUB is a common disorder affecting females and is a challenge to the treating gynaecologistKeywords Endometrium Premenopausal Postmenopausal Hyperplasia Polyp
Authors and Affiliations
Nidhi Golecha, Varsha Porwal
Keywords
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- EP ID EP475133
- DOI 10.18231/2394-2754.2018.0078
- Views 61
- Downloads 0
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