An Observational Assessment of the Clinico-Etiologic Profile of Abnormal Uterine Bleeding (AUB) among Women in PeriMenopausal Age Group: A Retrospective Study
- 1. Assistant Professor, Department of Obstetrics & Gynecology, Patna Medical College & Hospital, Patna, Bihar, India
- 2. Senior Resident, department of obstetrics and gynaecology, Patna Medical College and Hospital, Patna, Bihar, India
- 3. Associate professor, Department of obstetrics and gynaecology, Patna Medical College and Hospital, Patna, Bihar, India
Description
Aim: Clinico-etiologic profile of abnormal uterine bleeding (AUB) among women in peri-menopausal age group. Materials and Methods: This study included retrospective study of randomly selected 210 cases of abnormal uterine bleeding between 40–55 years of age during a period of 24 months, in the Dept. of Obstetrics & Gynecology, Patna Medical College & Hospital, Patna. Patients were evaluated with menstrual history, physical examination, laboratory tests, imaging studies and histological examinations. Results: Most common age group presenting with AUB was 40–45 years (65.2%). Most of the women were multiparous and menorrhagia was most common presentation. Among organic causes fibroid (30%) uterus was most common. Majority of patients had mild anemia. Conclusion: Abnormal uterine bleeding (AUB) is a common gynecological complaint associated with considerable morbidity and significantly affects the patient’s family, personal and social life. Perimenopausal women’s health and quality of life can be maintained and improved through preventive care, lifestyle modification, early diagnosis of risk factor or disease and appropriate treatment.
Abstract (English)
Aim: Clinico-etiologic profile of abnormal uterine bleeding (AUB) among women in peri-menopausal age group. Materials and Methods: This study included retrospective study of randomly selected 210 cases of abnormal uterine bleeding between 40–55 years of age during a period of 24 months, in the Dept. of Obstetrics & Gynecology, Patna Medical College & Hospital, Patna. Patients were evaluated with menstrual history, physical examination, laboratory tests, imaging studies and histological examinations. Results: Most common age group presenting with AUB was 40–45 years (65.2%). Most of the women were multiparous and menorrhagia was most common presentation. Among organic causes fibroid (30%) uterus was most common. Majority of patients had mild anemia. Conclusion: Abnormal uterine bleeding (AUB) is a common gynecological complaint associated with considerable morbidity and significantly affects the patient’s family, personal and social life. Perimenopausal women’s health and quality of life can be maintained and improved through preventive care, lifestyle modification, early diagnosis of risk factor or disease and appropriate treatment.
Files
IJPCR,Vol14,Issue1,Article103.pdf
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Additional details
Dates
- Accepted
-
2022-01-11
Software
- Repository URL
- https://impactfactor.org/PDF/IJPCR/14/IJPCR,Vol14,Issue1,Article103.pdf
- Development Status
- Active
References
- 1. Mahajan N, Aggarwal M, Bagga A. Health issues of menopausal women in North India. J Midlife Health. 2012; 3:84-7. 2. Kumar P, Malhotra N. Clinical types of abnormal uterine bleeding. In: Kumar P, editor. Jeffcoate's Principle of Gynecology. 7th ed. New Delhi: Jaypee Brothers Medical Publishers (P) Ltd.; 2008:599. 3. Soules MR, Sherman S, Parrott E. Stages of reproductive aging (STRAW). J Womens Health Gender Based Med. 2001;10(9):843-848. 4. Padubidri VG, Daftray SN. Shaw's textbook of Gynaecology/ 16 th edition/chapter 24/page335-348. 5. Janet R. Albers, Sharon K. Hull, and Robert M. Wesley: Abnormal Uterine Bleeding. Am Fam Physician. 2004;69(8):1915-26. 6. Katke RD, Zarariya AN. Use of diagnostic hysteroscopyin abnormal uterine bleeding in perimenopausal age group and its clinicopathological corelation with ultrasound and histopathology findings: experience in atertiary care institute. Int J Reprod Contracept Obstet Gynecol. 2015; 4:413-8. 7. M. B. Swami. Histopathological evaluation of endometrium in pre and postmenopausal uterine bleeding. Indian Journal of Obstetrics and Gynecology Research. 2015;2(4):264- 269. 8. Urvashi Verma. Diagnostic approach in perimenopausal woman with abnormal uterine bleeding. Journal of South Asian Federation of Menopause Socities, 2014;2(1):12-14. 9. Gopalan U, Rajendiran S, Karnaboopathy R. Study of endometrial histopathology in women with abnormal uterine bleeding. Int J Reprod Contracept Obstet Gynecol. 2017;6(3):824-8. 10. Doraiswami S, Johnson T, Rao S, Rajkumar A, Vijayaraghavan J, Panicker VK. Study of endometrial pathology in abnormal uterine bleeding. J Obstet Gynecol India. 2011;61(4):426-30. 11. Damle RP, Dravid NV, Suryawanshi KH, Gadre AS, Bagale PS, Ahire N. Clinicopathological spectrum of endometrial changes in perimenopausal and menopausal uterine bleeding. J Clin Diagnos Res. 2013;7(12):2774-6. 12. Muzaffar M, Akhtar KAK, Yasmin S, Rahman M, Iqbal W, Khan MA. Menstrual irregularities with excessive blood loss: A Clinico-Pathological Correlation. J Pak Med Assoc. 2005; 55:486-9. 13. Bhatta S, Sinha AK. Histopathological study of endometrium in abnormal uterine bleeding. J Pathol Nepal. 2012;2(4):297-300. 14. Nahid Sultana. Bulky Uterus and Multiparity are Important Contributing Factors for Dysfunctional Uterine Bleeding among Bangladeshi Women. Journal of Enam Medical College. 2016;6(1):23-27. 15. Kumar Suneet. Clinicopathological Study of Abnormal Uterine Bleeding in North Indian Patients. Asian Journal of Biomedical and Pharmaceutical Sciences. 2016;6(53):50-51.