A prospective study on abnormal uterine bleeding with sonological and histopathological correlation in women attending tertiary care hospital

Prema Prabhudev; Sapna I. S.; Tejaswi V. Pujar; Achala K. P.

doi:10.18203/2320-1770.ijrcog20222789

Authors

Prema Prabhudev Department of Obstetrics and Gynecology, S. S. Institute of Medical Sciences, Davangere, Karnataka, India
Sapna I. S. Department of Obstetrics and Gynecology, S. S. Institute of Medical Sciences, Davangere, Karnataka, India
Tejaswi V. Pujar Department of Obstetrics and Gynecology, S. S. Institute of Medical Sciences, Davangere, Karnataka, India
Achala K. P. Department of Obstetrics and Gynecology, S. S. Institute of Medical Sciences, Davangere, Karnataka, India http://orcid.org/0000-0001-6415-9772

DOI:

https://doi.org/10.18203/2320-1770.ijrcog20222789

Keywords:

Abnormal uterine bleeding, Dilatation and curettage, Endometrial thickness, Histopathological examination, Menorrhagia, Transvaginal sonography

Abstract

Background: Abnormal uterine bleeding (AUB) is a common problem among women in the reproductive age group, with reported prevalence in India being 17.9%, AUB has a substantial effect on health-related quality of life and morbidity related if requiring surgeries. The objective of this study was to evaluate various histopathological features in endometrial curetting and co-relate them with transvaginal ultrasonographic findings.

Methods: The study consisted of 500 cases who presented to the Department of Obstetrics and Gynaecology with complaints of abnormal uterine bleeding. Relevant history was elicited from all cases and a clinical examination was done. All cases underwent endometrial biopsy followed by transvaginal ultrasonography before surgery and the results were compared with the histopathological study of the specimen.

Results: 16.7% of patients diagnosed with AUB had severe anemia requiring transfusion of blood. 4.2% of subjects in the study were nulliparous. 59.7% of subjects had an endometrial thickness ranging from 10mm to 14.9 mm in the transvaginal ultrasonographic study. Endometrial carcinoma accounted for 1.4% of the study population. Normal USG findings were seen in 18.1% of patients.

Conclusions: In conclusion, a significant association was found between ultrasound and histopathological findings.

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