Profile of Menorrhagia Patients: A Hospital-Based Study
Journal Title: IOSR Journal of Dental and Medical Sciences (IOSR-JDMS) - Year 2018, Vol 17, Issue 1
Abstract
This prospective hospital-based study was conducted on 153 women with excessive menstrual bleeding. Those with pre-menarchal or post-menopausal per vaginal bleeding were excluded. After eliciting a detailed history, all patients underwent clinical examination and investigations including trans-abdominal ultrasonography. Pelvic examination was restricted to married patients. If indicated, dilatation and curettage or hysterectomy was done and histopathological reports were obtained for confirmation of diagnosis. The mean age of married (n=121) and unmarried patients (n=32) was 36.59±5.99 years (95% CI: 35.53-37.66 years) and 18.32±2.51 years (95% CI: 17.45-19.19 years), respectively. The difference in age was highly significant (Z=26.01, p<0.00001). The mean duration of menorrhagia was significantly longer (Z=7.061, p<0.00001) for married patients. Dysfunctional uterine bleeding and uterine fibroid were the predominant causes of menorrhagia. In relatively fewer numbers of married women, menorrhagia was due to adenomyosis, carcinoma of uterine cervix, IUCD use and pelvic inflammatory disease. Unmarried women sought treatment for menorrhagia earlier, as compared to their married counterparts. A majority of patients in the study had below-normal haemoglobin levels. Community-based education campaigns would be necessary to enhance care-seeking behaviour among adolescent girls and women.
Authors and Affiliations
Rohan R. Kulur, Shamala Yashod. , Aniruddha A. Malgaonkar, Sundaram Kartikeyan
Keywords
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- EP ID EP263147
- DOI 10.9790/0853-1701022831
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