Clinico-Pathological Evaluation of Dysfunctional Uterine Bleeding
Journal Title: International Journal of Contemporary Medical Research - Year 2017, Vol 4, Issue 4
Abstract
Introduction: Dysfunctional uterine bleeding is a form of abnormal uterine bleeding in absence of organic disease of the genital tract. The objective of this study was to find out the clinical and pathological aspect of women in various age group and parity presenting with dysfunctional uterine bleeding Material and Methods: A prospective study was conducted over a period of one year from November 2015 to November 2016 in the Department of Obstetrics and Gynecology, S.C.B Medical College, Cuttack, Odisha. A complete history, clinical examination, laboratory investigations, pelvic scan, and endometrial biopsy were done to diagnose dysfunctional uterine bleeding. Results: A total of 160 cases were included. The ages of the patients having dysfunctional uterine bleeding were ranging from 21 -70 years. Dysfunctional uterine bleeding was most common in the age group 41-50 yrs (41.25%) followed by 31- 40 yrs (28.75%). Majority were multipara (81.87%).Menorrhagia (51.87%) was the most common presentation. Majority of cases histopathology of endometrium revealed proliferative pattern (41.88%) followed by hyperplastic type (27.5%). 21.88% had secretory endometrium, 2.5% had atrophic endometrium and 1.25% cases had endometrial carcinoma. Conclusion: Dysfunctional uterine bleeding was the most common in the perimenopausal age group and majority had proliferative and hyperplastic type of endometrium in our study. Histopathological evaluation of endometrium which remains the gold standard helps to exclude the local causes and establishes the diagnosis of dysfunctional uterine bleeding, its types, and clinical correlation to histopathological findings and finally helps to determine the mode of management
Authors and Affiliations
Ajit Kumar Nayak, Kalyani Hazra, Manju Kumari Jain
Keywords
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