EVALUATION OF AUB AND ITS RELATION WITH SIZE OF UTERUS AND DEMOGRAPHIC VARIABLES AS ASSESSED BY SALINE INFUSION ULTRASONOGRAPHY, HYSTEROSCOPY AND HISTOPATHOLOGY OF ENDOMETRIUM
Journal Title: Journal of Evolution of Medical and Dental Sciences - Year 2017, Vol 6, Issue 91
Abstract
BACKGROUND Menorrhagia is defined as menstruation at regular interval but with excessive blood and/or duration. Clinically menorrhagia is total blood loss exceeding 80 mL/cycle and/or menses lasting longer than 7 days. It may be primary and secondary. Primary is popularly called dysfunctional uterine bleeding (DUB). About 5% of patients consult family physician for menorrhagia and 12% of all gynaecological references are for menorrhagia. As per Federation of International Gynaecologist and Obstetricians (FIGO) aetiological classification (2006), there are mainly 9 categories which are arranged according to the acronym PALM - COEIN (Pronounced Palm Koin) (PALM – Structural, COEIN – non-structural): Polyp, adenomyosis, leiomyoma, malignancy, coagulopathy, ovulatory dysfunction, endometrial, iatrogenic and not yet classified.[1] Aim - To know the uterus size that is mostly associated with DUB. MATERIALS AND METHODS A prospective observational study on 97 women attending gynaecological outpatient department (OPD) in R.D. Gardi Medical College between 01-09-2011 to 01-03-2013 was done. Complete clinical and physical examination with ultrasound (USG), hysteroscopy and dilatation and curettage (D&C) followed by histopathology of the material was done. RESULTS Variables include demographic variables e.g. age, parity, occupation, geographic location, clinical presentation of patients, duration of complaints and on clinical examination, size of uterus and type of complaints. CONCLUSION Most commonly abnormal uterine bleeding (AUB) was associated with uterus of size 6 to 8 weeks. The pathology responsible may be endometritis, adenomyosis, leiomyoma, ovarian cyst, hormonal imbalance, iatrogenic, polyp. The bigger size uterus may cause pressure symptoms more commonly and not the AUB.
Authors and Affiliations
Neelam Tejwani, Rahul Padval, Roy P. K
Keywords
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- EP ID EP278297
- DOI 10.14260/jemds/2017/1394
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