Evaluation of endometrium in peri-menopausal women in case of abnormal uterine bleeding
Journal Title: International Archives of Integrated Medicine - Year 2016, Vol 3, Issue 3
Abstract
Introduction: Abnormal uterine bleeding should include all abnormalities of menstruation like hypermenorrhea as well as hypomenorrhea. Abnormal bleeding is synonymous only with excessive menstruation. Abnormal uterine bleeding (AUB) is one of the most common conditions for which women consult their gynaecologists. Material and methods: This was a retrospective study done in Dhiraj Hospital over a period of six month on patients presenting with AUB. Patients were selected based on clinical details. The study material included a total no. of 60 patients which were inclusive of endometrial samples. Patients with isolated endometrial causes of abnormal uterine bleeding were included for this study and those with pregnancy, profusely bleeding per vaginum, anemic patients were excluded. All specimens were transported in 10% formalin to the pathology laboratory. The gross morphology was recorded. Microscopic examination was done by two pathologist so as to reduce inter observer findings. The data collected for this study was statistically analyzed using chi-square test. Results: In the present study, maximum age occurrence was between 40-49 years, the youngest patient in this study was 22 year old and the oldest was 54 year. Majority of the patients presented with menorrhagia (50%) followed by post- menopausal bleeding (28.3%). There were 8 cases (13.3%) with polymenorrhagia and 5 patients (8.3%) with metrorrhagia. 36 (60%) normal cases were reported. The diagnosis of 9 (15%) cases of endometrial polyps and endometrial hyperplasia were 10 (16.6%) among them 2 (20%) was hyperplasia with atypia and 8 (80%) were hyperplasia without atypia, atrophic endometrium was present in 2 cases (3.3%), endometritis in 3 cases (5%). Histopathology correctly diagnosed all cases. Conclusion: Histopathological examination after Dilatation and curettage is necessary tool for ruling out the organic pathology in uterus in those patients where history, systemic and pelvic examination reveals no pathology. Dilatation and curettage findings of organic pathology like TB, endometrial carcinoma, endometrial polyp etc. will rule out at the given cases AUB. Presence of organic pathology tells the case is of AUB. Further it helps in differentiating in ovulatory and an-ovulatory cycle and therefore guides the clinician and hormonal management.
Authors and Affiliations
Harshita Gupta, Rutwa Chavda, HB Saini, Aartee Tarraiya, Suraj K Patel, Himali Patel
Keywords
Related Articles
- EP ID EP417922
- DOI -
- Views 111
- Downloads 0
A study on diagnosis and management of urinary calculi in pregnancy
Background: Acute renal colic during pregnancy is associated with significant potential risks to both mother and fetus. Diagnosis is often challenging because good imaging options without radiation use are limited. Manag...
Evaluation of role of topical 0.2% Glyceryl trinitrate ointment and topical 2% Diltiazem ointment in healing of anal fissure
Backround: The patho-physiology of anal fissure is thought to be related to trauma to the anoderm from any cause. A tear in the anoderm causes acute pain, which results in spasm of the internal anal sphincter and decreas...
A comprehensive study on the effect of injection methylprednisolone in post mastectomy seroma
Background: Seroma formation is a common problem after mastectomy. The incidence varies between 30% to 92%. It is often an ongoing problem after removal of the suction drain, and repeated skin puncture is necessary to re...
Post renal transplant infections: One year follow up study
Introduction: Transplantation returns the majority of patients to an improved life-style and an improved life expectancy, as compared to patients on dialysis; however, careful prospective cohorts studies have yet to be r...
Clinical study of Hashimoto’s thyroiditis
Background: Hashimoto’s thyroiditis, a well known condition affecting the thyroid gland is often under diagnosed due to its wide spectrum of clinical manifestations. As such it could present as a Multi Nodular Goitre, Di...