Title: Histopathological pattern of abnormal uterine bleeding in endometrial biopsies in reproductive age group at tertiary SKIMS Trust hospital
Authors: Dr Shazia Nisar, Dr Shabnam Ara, Dr Shahid Banday
DOI: https://dx.doi.org/10.18535/jmscr/v7i1.68
Abstract
Introduction: Abnormal uterine bleeding is a common presenting complaint in gynaecology out patient department. Histopathological evaluation of the endometrial samples plays a significant role in the diagnosis of abnormal uterine bleeding. It occurs in 9-14% of women between menarche and menopause, significantly impacting quality of life and imposing financial burden
Aims and Objective: To ascertain types and frequencies of various types of histopathological changes of the endometrium in patients of reproductive age group with abnormal uterine bleeding attending OPD at SKIMS Trust hospital.
Materials and Methods: In this prospective study [Jan 2016-jan 2017] a total number of 200 endometrial biopsies were obtained by dilatation and curettage from patients with abnormal uterine bleeding in age group 18-50 years attending SKIMS Trust hospital OPD.
Results: out of 200 patients, 20 were in age group of 18-28,30 were in age group of 29-38 while as 150 were in age group of 39-50.Duration of symptoms was 0-2 months in 10 patients while it was 3-6 months in 140 patients and 7-12 months in 50 patients. PROLIFERATIVE type of histology was the most common [40%].
Conclusion: Anovulation is commonest cause of AUB in reproductive age group and study of histopathological changes of endometrium is very important in management of AUB.
Keywords: AUB=Abnormal uterine bleeding ; DUB= Dysfunction uterine bleeding.
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