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- DOI 10.18231/2394-2754.2018.0078
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CrossMark
- Citation
Abnormal uterine bleeding: A study of its clinical spectrum and incidence of histopathological patterns of endometrium as a function of age with parity
- Author Details:
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Nidhi Golecha
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Varsha Porwal
Introduction: Abnormal uterine bleeding (AUB) is a common complaint affecting majority of pre and postmenopausal women. Endometirum is a dynamic tissue and is affected by a wide range of histopathological lesions. The causes of AUB is a function of age.
Aim and Objective: to study the histopathological pattern in cases of AUB in reference age, parity and bleeding pattern. Patients were categorized into reproductive (<40>50 years).
Materials and Methods: A total of three hundred patients presenting with AUB are included in this study.
Observation and Results: In this study patient ranged from 20 to 70 years and the mean age of the cohort was 43.46±8.07. Major parity category noted in the cohort was para-2 in 89 patients (29.67%). Major bleeding pattern observed in the cohort was menorrhagia (32.33%); followed by metrorrhagia (19.67%), menometrorrhagia (16.33%), postmenopausal bleeding (12.67%), polymenorrhoea (9.67%), polymenorrhagia (5%) and continuous bleeding (1%). Histopathological pattern observed in AUB patients was proliferative phase endometrium (31.33%), secretory phase endometrium (21.67%), menstrual endometrium (1.33%). atrophic endometrium (6%), disordered proliferation (3.33%), mixed pattern (1%), polyp (10.67%), metaplasia (9.67%), hyperplasia (8.67%), endometritis (2.67%), adenocarcinoma (1.67%) and insufficient (2%).
Conclusion: The causes of AUB are function of age; perimenopausal age group is the most common affected. Dilatation & Curettage is cost effective, useful procedure but organic lesions such as leiomyoma and adenomyosis can be missed. AUB is a common disorder affecting females and is a challenge to the treating gynaecologist.
Keywords: Endometrium, Premenopausal, Postmenopausal, Hyperplasia, Polyp.
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How to Cite This Article
Vancouver
Golecha N, Porwal V. Abnormal uterine bleeding: A study of its clinical spectrum and incidence of histopathological patterns of endometrium as a function of age with parity [Internet]. Indian J Obstet Gynecol Res. 2018 [cited 2025 Nov 01];5(3):339-343. Available from: https://doi.org/10.18231/2394-2754.2018.0078
APA
Golecha, N., Porwal, V. (2018). Abnormal uterine bleeding: A study of its clinical spectrum and incidence of histopathological patterns of endometrium as a function of age with parity. Indian J Obstet Gynecol Res, 5(3), 339-343. https://doi.org/10.18231/2394-2754.2018.0078
MLA
Golecha, Nidhi, Porwal, Varsha. "Abnormal uterine bleeding: A study of its clinical spectrum and incidence of histopathological patterns of endometrium as a function of age with parity." Indian J Obstet Gynecol Res, vol. 5, no. 3, 2018, pp. 339-343. https://doi.org/10.18231/2394-2754.2018.0078
Chicago
Golecha, N., Porwal, V.. "Abnormal uterine bleeding: A study of its clinical spectrum and incidence of histopathological patterns of endometrium as a function of age with parity." Indian J Obstet Gynecol Res 5, no. 3 (2018): 339-343. https://doi.org/10.18231/2394-2754.2018.0078