Clinical profile of patients with abnormal uterine bleeding at a tertiary care hospital
DOI:
https://doi.org/10.18203/2320-1770.ijrcog20151224Keywords:
Abnormal uterine bleeding, Menorrhagia, DUBAbstract
Background: Abnormal uterine bleeding is a very common gynecological condition that affects all age groups. One third of patients attending gynaecology OPD present with complaints of abnormal uterine bleeding. Bleeding is said to be abnormal when the pattern is irregular, abnormal duration (>7 days), or menorrhagia or abnormal amount (>80 ml/menses).
Methods: All patients in the perimenopausal age group (45±5 years) with symptoms of abnormal uterine bleeding presenting at department of OBG, Tertiary care centre during the study period were included in the study. Totally 50 study subjects were included in the study as this number of patients attended hospital during the study period. Results: The most common presenting symptom was pain abdomens (28%) followed by dysmenorrhea (16%), and back ache (2%). The most common bleeding pattern was menorrhagia (64%) followed by polymenorrhoea (28%), metrorrhagia (18%) and menometrorrhagia (8%).
Conclusions: The entire bleeding pattern was more commonly associated with abnormal uterine bleeding.
References
Dangal G. A study of endometrium of patients with abnormal uterine bleeding at Chitwan valley. Kathmandu University Medical Journal. 2003;1(2):110-2.
Khare A, Bansal R, Sharma S. Morphological spectrum of endometrium in patients presenting with dysfunctional uterine bleeding. People's Journal of Scientific Research. 2012;5(2):13-6.
Livingstone M, Fraser IS. Mechanisms of abnormal uterine bleeding. Human Reproduction Update. 2002;8(1):60-7.
Mirza T, Akram S, Mirza A, Aziz S, Mirza T, Mustansar T. Histopathological Pattern of Abnormal Uterine Bleeding in Endometrial Biopsies. J Basic and Applied Sciences. 2012;8:114-7.
Awwad JT, Toth TL, Schiff I. Abnormal Uterine Bleeding in the Perimenopause. International Journal of Fertility & Menopausal Studies. 1993;38(5):261-9.
Speroff L, Fritz MA. In: Clinical gynaecologic endocrinology and infertility. 7th edition. Jaypee Brothers Med Publishers (P) Ltd. Menopause and the peri-menopausal transition, 2005.
Padubidri VG, Daftary SN. Howkins and Bourne Shaw’s Textbook of Gynaecology. 14th ed. Noida: Elsevier, A division of Reed Elsevier India Private Limited; 2008. Perimenopause, Menopause, Premature Menopause and Post-menopausal Bleeding. In: Padubidri VG, Daftary SN, editor. 2008: 52-62.
Kumar A, Mittal S. Endometrial sampling: How? & why? Obs and Gynae Today. 2007;12(6):284-7.
Sutherland AM. Recent Advances in Obstetrics and Gynecology. Bourne A William JA. 1962: 365-381.
Anusuya D, Chugh S. Dysfunctional uterine Bleeding – A Clinico- pathological Study. J Obstet and Gynecol India. 1964;14(2):343-7.
Bhattacharji SK. Dysfunctional Uterine bleeding Correlation of endometrial pattern with clinical behavior. J Obstet Gynecol India. 1964;14(2):372-9.
Wagh KV, Swamy V. Functional uterine Haemorrhage. J Obstet and Gynecol India. 1964;14:87-392.
Mehrotra VG, Mukerjee K, Pandey M, Samanth V. Functional uterine bleeding (A review of 150 cases). J Obstet Gynaecol India. 1972;22:684-9.
Muzaffar M, Akhtar KAK, Yasmin S, Mahmood-ur-Rehman, Iqbal W, Khan MA. Menstrual Irregularities with excessive blood loss: a Clinico-Pathological Correlation. J Pak Med Assoc. 2005;55(11):486-9.
Saraswathi D, Thanka J, Shalinee R, Aarathi R, Jaya V, Kumar PV. Study of Endometrial Pathology in Abnormal Uterine Bleeding. Journal of Obstetrics and Gynecology of India. 2011;61(4):426-30.
Dawn CS. Environment and dysfunctional uterine haemorrhage. J Obstet Gynaecol India. 1964;14:408-12.
Khan S, Hameed Sadia Ghani NA, Abdulrazak AA, Abdullah EM. Abnormal uterine bleeding: A histopathological study. World Res J Pathol. 2012;1(1):6-8.
Sanyal MK, Sanyal S, Bhattacherjee KK, Roy NN. Clinicopathological study of endometrium: A thousand nine hundred twenty cases in different abnormalities. J Obstet Gynaecol India. 1981;31(5):816-21.
Pillai GS, Sethi B, Dhaded AV, Mathur PR. Dysfunctional Uterine Bleeding (Study of 100 cases). J Obstet Gynaecol India. 2002;52(3):87-9.
Joshi SK. Atypical uterine bleeding-Histopathological audit of endometrium A study of 638 cases. Al Ameen J Med Sci. 2013;6(1):21-8.