Examining the association between body mass index and abnormal uterine bleeding: a cross-sectional study among women in a tertiary care gynaecology outpatient setting

Reema Verma; Usha Madhulika Horo; Shashi Bala Singh

doi:10.18203/2320-1770.ijrcog20252723

Authors

Reema Verma Department of Obstetrics and Gynaecology, Rajendra Institute of Medical Science, Ranchi, Jharkhand, India
Usha Madhulika Horo Department of Obstetrics and Gynaecology, Rajendra Institute of Medical Science, Ranchi, Jharkhand, India
Shashi Bala Singh Department of Obstetrics and Gynaecology, Rajendra Institute of Medical Science, Ranchi, Jharkhand, India

DOI:

https://doi.org/10.18203/2320-1770.ijrcog20252723

Keywords:

Obesity, Gynecology, Ovulatory dysfunction, Body mass index, Abnormal uterine bleeding

Abstract

Background: This study examines body mass index (BMI) and abnormal uterine bleeding (AUB) in tertiary care hospital gynaecology outpatients. The findings will improve resource-limited AUB management practices.

Methods: At Rajendra Institute of Medical Science in Ranchi, India, 100 women aged 18-60 attended the gynaecology outpatient department for this cross-sectional study. Clinical assessments, BMI measurements and PALM-COEIN-based diagnostic techniques classified abnormal uterine bleeding (AUB) categories in participants.

Results: Higher BMI categories were associated with more AUB, according to the study. Obese women had the greatest AUB rate (83.3%), followed by overweight (66.7%). Obese subjects had the highest AUB-related ovulatory dysfunction. Women with higher BMI had more frequent heavy menstrual flow (p<0.01).

Conclusions: Elevated BMI is strongly associated with an increased prevalence of abnormal uterine bleeding, particularly in overweight and obese women.

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