Histopathological correlation of abnormal uterine bleeding in perimenopausal women

Prasanna Byna; Shireesha Siddula; Swathi Kolli; Mahaboob V. Shaik

doi:10.18203/2320-1770.ijrcog20151277

Authors

Prasanna Byna Department of Obstetrics & Gynaecology, Narayana Medical College & Hospital, Nellore, Andhra Pradesh, India
Shireesha Siddula Department of Obstetrics & Gynaecology, Narayana Medical College & Hospital, Nellore, Andhra Pradesh, India
Swathi Kolli Department of Obstetrics & Gynaecology, Narayana Medical College & Hospital, Nellore, Andhra Pradesh, India
Mahaboob V. Shaik Department of Obstetrics & Gynaecology, Narayana Medical College & Hospital, Nellore, Andhra Pradesh, India

DOI:

https://doi.org/10.18203/2320-1770.ijrcog20151277

Keywords:

Abnormal uterine bleeding, Histopathology, Dysfunctional uterine bleeding

Abstract

Background: Current study designed to identify the causes of abnormal uterine bleeding( AUB) in perimenopausal women and also to correlate with their histopathological examination.

Methods: A prospective study of 65 perimenopausal women with complaint of AUB with age group ranging from 40 to 1 year within menopause those are attending to department of gynaecology of Narayana Medical College & Hospital, Nellore. Clinical examinations between the parameters were analysed. Histopathological examination report was also correlated with clinical examination and ultrasonography.

Results: Out of 65 women, 11 (16.9%) were primiparas, 36 (55.38%) were para 2, 18 (27.69%) were para 3 and above. The frequent menstrual abnormality seen in perimenopausal women is heavy menstrual bleeding i.e., 41 (63%) women out of 65 women, 14 (21.53%) had polymenorrhoea, 9 (13.84%) had oligomenorrhea, 6 (9.23%) had postmenopausal bleeding, 4 (6.15%) had intermenstrual spotting. Most common type of endometrial pattern is proliferative endometrium. Out of 65 perimenopausal women, 23 (35.38%) had proliferative type of endometrium, 20 (30.76%) women had secretory pattern, 9 (13.84%) had typical simple endometrial hyperplasia, 4 (6.15%) had atypical simple endometrial hyperplasia, 3 (4.61%) had adenomyomatous polyp, and 6 (9.2%) women had irregular ripening.

Conclusions: The present study shows that Histopathological examination is mandatory in all cases of AUB in perimenopausal age. 66.14% had benign pathology which can be managed by hormonal therapy or conservative surgical modalities which alleviates need for unnecessary hysterectomy.

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