The Study of Various Endometrial Pattern in Patients with Dysfunctional Uterine Bleeding
Journal Title: Journal of Medical Science And clinical Research - Year 2015, Vol 3, Issue 4
Abstract
Aim: To determine the various bleeding and endometrial patterns in patients with Dysfunctional Uterine Bleeding Objective: To correlate these three methods of estimation of fetal weight with the actual birth weight of the baby after delivery. Materials And Methods: This was a retrospective study that was conducted at Mandya Institute of Medical Sciences, Mandya from July 2013 to December 2013 on 100 patients attending gynaecology out-patient department with clinical diagnosis of Dysfunctional Uterine Bleeding. A detailed history of the patient was taken and examination done, Ultrasound (abdominal-pelvic) and other required investigations were carried out to exclude any organic pathology, pregnancy, bleeding disorder or thyroid dysfunction. The age, parity, pattern of bleeding, associated symptoms, contraceptive method, any medical history such as diabetes or hypertension were recorded. Dilatation and curettage (D & C) was done on the patients who fulfilled the inclusion criteria after the procedure was explained and consent taken. The histopathology reports were obtained from the pathology department. Data was entered in excel sheets and analysed using proportions and percentages. Results: Out of the100 patients, in age group of 40-45 years, 42 cases (42%) were seen., in the age group of 45-50 years, 38 cases (38%) were seen, where as in the age group of 50-55 years, 12 cases (12%) were seen and minimum incidence was in the age group of 35-40 (8%). Most common clinical presentation was menorrhagia (66%) followed by metrorrhagia (20%). Histopathologically the most common endometrial pattern was proliferative type at 55%. 70 (70%) had symptoms since 6 months, 22 (22%) had symptoms between 6 –12 months and only 8 (8%) of them presented in their very first abnormal cycle Conclusion: Dysfunctional uterine bleeding affect 9%-30% of women in all age group and accounts for 12% of the gynaecological consultation. Although different bleeding patterns are associated with DUB, most common symptom is heavy bleeding rendering the women anaemic. As the risk of genital tract malignancy increases in perimenopaucal age group, all cases of DUB especially in women of perimenopausal age need further evaluation.
Authors and Affiliations
Dr. Deepthi H. R
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