Abnormal uterine bleeding: its differential diagnosis
Journal Title: MedPulse -International Medical Journal - Year 2017, Vol 4, Issue 1
Abstract
Introduction: Abnormal uterine bleeding is irregular uterine bleeding that occurs in the absence of recognizable pelvic pathology, general medical disease, or pregnancy. It reflects a disruption in the normal cyclic pattern of ovulatory hormonal stimulation to the endometrial lining. The bleeding is unpredictable in many ways. It may be excessively heavy or light and may be prolonged, frequent, or random. Objectives: to evaluate the clinical picture and endometrial pattern of abnormal uterine bleeding abnormal uterine bleeding. Materials and Methods: In the present study was total 142 patients of abnormal uterine bleeding were enrolled. All patients were selected based on clinical details along with the relevant investigations. For confirming the diagnosis histopathologcal and cytological examination was performed in all the patients. The final diagnosis was based on the histopathologcal report. Results: Majority of the patients were in the age group of 41- 50 years of age followed by 31-40years of age. 37.32% were third para whereas 31.69% were grand multipara. Menorrhagia (60.56%) was the most common clinical presentation. Polymenorrhoea was observed in 11.97% women. Menometrorrhagia and Metrorrhagia was observed in 8.45% and 6.34% women respectively. Endometrial hyperplasia was the most common cause of abnormal uterine bleeding and was confirmed in 27.46% of cases. Luteal phase insufficiency (15.49%) and Secretory phase (14.79%) was the second and third most common cause observed. Chronic endometritis, endometrial polyp, proliferative phase and anovulatory cycles etc were the other causes observed. Conclusion: Thus we conclude that abnormal uterine bleeding was common in 4thdecade of life among the multiparous women with Menorrhagia as the most common presenting symptom followed by Polymenorrhoea, Menometrorrhagia and Metrorrhagia were observed. Among the causes endometrial hyperplasia was the most common cause of abnormal uterine bleeding. Luteal phase insufficiency and Secretory phase was the second and third most common cause observed.
Authors and Affiliations
Meghna Suresh Bhansali
Keywords
Related Articles
- EP ID EP176053
- DOI -
- Views 108
- Downloads 0
Learning theories in medical education
There are many theories which has explained it in one or the other way. Mainly they are explained on the basis of behavioural, cognitive and constructivism. Behavioural theory emphasises mainly on the environmental stimu...
Unilateral high division of the sciatic nerve: a case report
Introduction: The sciatic nerve is the largest nerve in the body. It passes through the inferior part of greater sciatic notch below piriformis muscle. It enters the back of the thigh at the lower border of the gluteus m...
Evaluation of conventional central ossifying fibroma of jaws
Ossifying fibroma is uncommon benign fibro-osseous lesions of the craniofacial skeleton in which the normal bone architecture is replaced by fibroblasts and collagen fibers containing a variable amount of mineralized mat...
Prevalence of cervicitis and outcome: A hospital based study
Introduction: Cervicitis was first recognized as an important clinical entity in 1984 by Brunham et al.1 Cervicitis is a frequently asymptomatic, inflammatory condition of the cervix 4 It is common with rates as high as...
Socio–cultural factors affecting breastfeeding and complementary feeding practices in children of building construction workers
Introduction: Children of building construction workers are devoid of nutritional programmes resulting in malnutrition which is further aggravated by adverse breastfeeding and complementary feeding practices. Objectives:...