Analysis of endometrial biopsy reports from adult women with abnormal uterine bleeding, a cross-sectional descriptive study

Authors

  • Mohamed S. Keshta Royal College of Surgeons in Ireland and Bahrain, Al Muharraq, Bahrain
  • Ahmed S. Keshta Royal College of Surgeons in Ireland and Bahrain, Al Muharraq, Bahrain http://orcid.org/0000-0002-4403-5681
  • Manar Husain Royal College of Surgeons in Ireland and Bahrain, Al Muharraq, Bahrain
  • Hoda N. Gomaa Royal College of Surgeons in Ireland and Bahrain, Al Muharraq, Bahrain
  • Jennifer Ehiwario Royal College of Surgeons in Ireland and Bahrain, Al Muharraq, Bahrain
  • Alka Gupta Department of Obstetrics and Gynecology, American Mission Hospital, Manama, Bahrain
  • Rafiea Jeddy Royal College of Surgeons in Ireland and Bahrain, Al Muharraq, Bahrain Department of Obstetrics and Gynecology, American Mission Hospital, Manama, Bahrain

DOI:

https://doi.org/10.18203/2320-1770.ijrcog20223471

Keywords:

Abnormal uterine bleeding, Benign disease of uterus, Cancer of the endometrium, Endometrial hyperplasia

Abstract

Background: Abnormal uterine bleeding is a common complaint in most women of different ages that prompts seeking gynecologic care. This study aimed to analyze and age-classify the prevalence of endometrial pathologies in women with abnormal uterine bleeding.

Methods: This is a cross-sectional and a descriptive study, conducted at the obstetrics and gynecology department of the American Mission Hospital in the Kingdom of Bahrain on 88 patients who presented with abnormal uterine bleeding between January 2019 and January 2020.

Results: Eighty-eight women with abnormal uterine bleeding demonstrated a fluctuating pattern of twenty endometrial pathologies distributed among five age groups in the range of 30-71. The mean age of the study cohort was 44.9±7.65 years; 55% of which were reported in the 41-50 age group. Benign endometrial polyp was reported as the most common pathology, accounting for 47.8% of the cohort. Although benign endometrial polyp was significantly the highest overall finding in all three age groups younger than 60, disordered proliferative endometrium was the highest reported single pathology in the age group 41-50, (N=10, p≤0.0001).

Conclusions: This study demonstrated that benign endometrial polyp was the most common finding in women with abnormal uterine bleeding. This information could be essential for patient guidance and awareness of the benefits of endometrial biopsy. Eventually, the prediction of the potential endometrial pathology in women with abnormal uterine bleeding is vital for early disease management.

Author Biographies

Ahmed S. Keshta, Royal College of Surgeons in Ireland and Bahrain, Al Muharraq, Bahrain

Researcher at obstetrics and gynecology department of the Royal College of Surgeons in Ireland - Bahrain

Doctor at George Eliot Hospital - United Kingdom

Alka Gupta, Department of Obstetrics and Gynecology, American Mission Hospital, Manama, Bahrain

Consultant at the department of obstetrics and gynecology, American Mission Hospital – Bahrain

Rafiea Jeddy, Royal College of Surgeons in Ireland and Bahrain, Al Muharraq, Bahrain Department of Obstetrics and Gynecology, American Mission Hospital, Manama, Bahrain

Clinical Associate Professor of Obstetrics & Gyneacology at the Royal College of Surgeons in Ireland - Bahrain

Consultant at the department of obstetrics and gynecology, American Mission Hospital – Bahrain

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Published

2022-12-28

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Original Research Articles