Exogenous Hormone Induced Abnormal Uterine Bleeding-A Case Report
Journal Title: Journal of Medical Science And clinical Research - Year 2018, Vol 6, Issue 11
Abstract
A 40-year-old lady with a history of Abnormal Uterine Bleeding (AUB) was prescribed Ormeloxifene, at a dosage of 60 mg once in 3 days for a period of 3 months following a fractional curettage. Subsequently the patient had taken hormonal analogues over a long period of time without a proper follow up. Later due to a persistent and intermittent Abnormal Uterine Bleeding (AUB), she approached the hospital again and a planned hysterectomy was done. The hysterectomy specimen exhibited simple endometrial hyperplasia with focal sessile endometrial polyps. The myometrium was hypertrophic and hyperplastic in nature, simulating the pregnancy changes with multiple foci of adenomyosis (florid adenomyosis). The right side fallopian tube also showed endometriosis. This case is being presented to stress the fact that whenever a patient is under a hormonal therapy for AUB, proper follow up should be done to look for endometrial changes via noninvasive ultrasonography and if any unusual findings are found, an endometrial biopsy should be done to rule out any changes.
Authors and Affiliations
P. Viswanathan
Keywords
Related Articles
- EP ID EP510596
- DOI -
- Views 85
- Downloads 0
A Review on Antidiabetic Potential of Herbals in Siddha Medicine
Diabetes Mellitus, commonly referred to as diabetes is one of the world’s major diseases. As of 2015, it affects an estimated 415 million people worldwide. 46% of the people with diabetes are undiagnosed. The figure is e...
Prevalence of Breast Lesions on Fine Needle Aspiration Cytology
Background: : Fine Needle Aspiration Cytology (FNAC) of breast lump is an important mode of diagnosis of breast diseases due to its easy accessibility and negligible complications and it forms a part of triple assessment...
Analysis of Patterns of Mucosal and Histopathological Changes in Cases of Acute Appendicitis
Acute appendicitis is the most common general surgical emergency. The lifetime risk for appendicitis is 7%, commonly occurring in adolescent and young adults[13] . In England, 42,526 patients underwent appendectomies in...
Mucosal And Skin Reactions In Altered Fractionation Radiotherapy In Locally Advanced Oropharyngeal Carcinoma
INTRODUCTION: Mucositis and skin reactions are the most commonly encountered acute toxicities in head and neck irradiation. This is significantly higher in altered fractionation regimens. This study highlights the reacti...
Precancerous Risk Assessment of the Gastric Atrophy by Tri-modal Endoscopy
Background / Aims: Gastritis staging and detection of pre-neoplastic gastric mucosal changes based on the histology of biopsy specimen imposes a considerable burden on endoscopist and pathologist. Therefore, we attempted...