Pattern of abnormal uterine bleeding in a tertiary care hospital
DOI:
https://doi.org/10.18203/2349-3259.ijct20250129Keywords:
Abnormal uterine bleeding, PALM-COEIN, Heavy menstrual bleedingAbstract
Background: Abnormal uterine bleeding (AUB) is a significant clinical entity. Aim of the study was to observe the pattern of AUB in tertiary care hospital.
Methods: All patients attending gynae OPD and ward presenting with AUB were included in the study.
Results: A total 640 women had AUB in one year of study period. Highest incidence of AUB is observed in the age group 40-49 years. The most common clinical presentation of AUB was metrorrhagia followed by polymenorrhoea, menorrhagia, menometrorrhagia, oligomenorrhoea and hypomenorrhoea. On ultrasonography the commonest finding was leiomyoma uterus (28.15%) followed by increased endometrial thickness (18.46%). The most common histological pattern was proliferative endometrium (34.10%). According to PALM-COEIN classification the maximum incidence found was of AUB-L followed by AUB-O.
Conclusions: The prevalent causes of AUB vary with age. So, all the patients presenting with AUB to gynaecology departments were included in the study irrespective of age. The information presented in this study adds to our understanding of patterns of the AUB.
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References
Fraser IS, Langham S, Uhl-Hochgraeber K. Health-related quality of life and economic burden of abnormal uterine bleeding. Expert Rev Obstet Gynecol. 2009;4:179-89. DOI: https://doi.org/10.1586/17474108.4.2.179
Shapley M, Jordan K, Croft PR. An epidemiological survey of symptoms of menstrual loss in the community. Br J Gen Pract. 2004;54:359-63.
NICE. Clinical Guideline 44; Heavy menstrual bleeding. National Institute for Health and Clinical Excellence (NICE). 2007.
Bhatta S, Sinha AK. Histopathological study of endometrium in abnormal uterine bleeding. J Pathol Nepal. 2012;2(4):297-300. DOI: https://doi.org/10.3126/jpn.v2i4.6882
Munro MG, Critchley HO, Fraser IS. for the FIGO Working Group on Menstrual Disorders. The FIGO classification of causes of abnormal uterine bleeding. Int J Gynaecol Obstet. 2011;113(1):1-2. DOI: https://doi.org/10.1016/j.ijgo.2011.01.001
Fraser IS, Critchley HO, Broder M, Munro MG. The FIGO recommendations on terminologies and definitions for normal and abnormal uterine bleeding. Semin Reprod Med. 2011;29(5):383-90. DOI: https://doi.org/10.1055/s-0031-1287662
Speroff L, Fritz MA. In: Clinical gynaecologic endocrinology and infertility. 2020:9;1214-9.
Sedhai L, Shrestha A. Abnormal uterine bleeding; its prevalence, causes and management in Chitwan. J Chitwan Med Coll. 2012;1(2):36-8
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.
Farquhar C, Ekeroma A, Furness S, Arroll B. A systematic review of transvaginal sonography, sonohysterography and hysteroscopy for the investigation of abnormal uterine bleeding in premenopausal women. Acta Obstet Gynecol Scand. 2003;82:493-504. DOI: https://doi.org/10.1034/j.1600-0412.2003.00191.x
Mazur MT, Kurman RJ. Normal endometrium and infertility evaluation. In: Mazur MT, Kurman RJ, editors. Diagnosis of endometrial biopsies and curettings: A practical approach. 2nd ed. New York: Springer Verlag. 2005;7-33. DOI: https://doi.org/10.1007/978-0-387-26321-2_2
Sinha K, Gurung P, Sinha, HH, Bhadani PP. Study on abnormal uterine bleeding among adult women in a tertiary care hospital in Bihar, India. Int J Reprod Contracept Obstet Gynecol. 2018;7(8):3136-40. DOI: https://doi.org/10.18203/2320-1770.ijrcog20183305
Choudhury SA, Nath P. Abnormal uterine bleeding; its prevalence, causes and management in a tertiary care hospital. N Indian J OBGYN. 2020;7(1):52-712. DOI: https://doi.org/10.21276/obgyn.2020.7.11
Nair R, Mallikarjuna M. Clinical profile of patients with abnormal uterine bleeding at a tertiary care hospital Int J Reprod Contracept Obstet Gynecol. 2015;4(6):1753-7. DOI: https://doi.org/10.18203/2320-1770.ijrcog20151224
Kinake MS, Shweta W, Shubha D. Clinico-Pathological Study of Abnormal Uterine Bleeding-A Two Year Study at Tertiary Care Center Int J Med Res Health Sci. 2021;10(6):1-8.