Clinico epidemiological profile of abnormal uterine bleeding in reproductive womens: a cross sectional study

Authors

  • Neetu Singh Department of Obstetrics and Gynecology, Ram Manohar Lohia Institute of Medical Sciences, Lucknow, Uttar Pradesh, India
  • Mariyam Faruqi Department of Obstetrics and Gynecology, Ram Manohar Lohia Institute of Medical Sciences, Lucknow, Uttar Pradesh, India
  • Yashodhara Pradeep Department of Obstetrics and Gynecology, Ram Manohar Lohia Institute of Medical Sciences, Lucknow, Uttar Pradesh, India

DOI:

https://doi.org/10.18203/2320-1770.ijrcog20194863

Keywords:

Abnormal uterine bleeding, Menorrhagia, Polymenorrhoea, Reproductive age group women

Abstract

Background: Abnormal uterine bleeding (AUB) is a common reason for women of all ages to consult their gynecologist and is one of the most common debilitating menstrual problems ending up in hysterectomy in developing countries. This study was done with the aim to observe the clinical and demographic profile of the patients and the pattern of AUB.

Methods: It is an observational study, conducted in department of obstetrics and gynaecology, DR Rammanohar Lohia institute of medical sciences, Lucknow, Uttar Pradesh from August 2018 to July 2019. All patients in the reproductive age group with symptoms of abnormal uterine bleeding were included in the study.

Results: Majority (37.50%) of the women were in the age group of 30-40 years. 71.66% were multiparous and maximum women (60%) were in normal BMI. 69.17% were belonging to middle class. Commonest presentation was menorrhagia (48.3%) followed by oligomenorrhoea (18.1%) followed by polymenorrhoea (17.27%).

Conclusions: Excessive menstrual blood loss is a common reason for women to seek medical help and leads to large demands in health resources According to our study majority of the women with AUB were in the age group of 30-40 years, were multiparous with normal BMI belonging to middle class. Commonest presentation was menorrhagia. Following study highlights the clinical and epidemiological pattern of abnormal uterine bleeding of reproductive age group, which is crucial factor in management for these patients. In order to predict causal association, further more studies with larger sample size of higher level of evidence should be conduct to draw causal evidence.

References

Dangal G. A study of endometrium of patients with abnormal uterine bleeding at Chitwan valley. Kathmandu University Med J. 2003;1(2):110-2.

Sanyal MK, Sanyl S, Bhattacherjee KK, Roy Choudhari NN. Clinico- pathological study of endometrium: a review of three thousand nine hundred twenty cases in different gynaecological abnormalities. J Obstet Gynaecol India. 1981;31(5):816-21.

Babbar K, Jogi S, Arya RC. Clinical pattern and spectrum of endometrial pathologies in abnormal uterine bleeding in perimenopausal and postmenopausal women: experience in a tertiary care institute. J South Asian Feder Menopause Soc. 2015;3(1):9-14.

Sharma A, Dogra Y. Trends of AUB in a tertiary centre of Shimla hills. J Midlife Health. 2013;4:67-8.

Statistical data analysis. Available at: http://select.statistics.co.uk/calculators/sample-size-calculator-population-proportion/. Accessed on 4th September 2019.

Bhansali MS (Gugale). Abnormal uterine bleeding: Its differential diagnosis. Int Med J. 2017;4(1):141-4.

Nayak AK, Hazra K, Jain MK. Clinico-pathological evaluation of dysfunctional uterine bleeding. Int J Conte Med Res. 2017;4(4):920-4.

Ramesh BH, Rajeshwari K. Clinico-histomorphological spectrum of abnormal uterine bleeding. Ind J Pathol Oncol. 2018;5(3):477-83.

Palwade JM, Borole CS. A study of causes of abnormal uterine bleeding with res classification in the patients at perimenopausal age. Med FIGO Pulse - Int Med J. 2016;3:987-91.

Archana B, Michelle F. Evaluation and histopathological correlation of abnormal uterine bleeding in perimenopausal women. Bombay Hospital J. 2010;52(1)69-72.

Nirmala AVK. Menorrhagia in thrombocytopenic purpura- report of 36 cases. J Obstet Gynecol India. 1991;41:111-4.

Gautam A, Radha R, Shah S, Vaidhya P. Acute adolescent menorrhagia. J Obstet Gynecol India. 1992;42:639-42.

Thanyapa W. Histopahological result of fractional curettage in Satuk Hospital. Med J Srisaket Surin Buriram Hospital. 2010;25:93-100.

Saraswathi D, Thanka J, Shalinee R, Aarathi R, Jaya V, Kumar PV. Study of endometrial pathology in abnormal uterine bleeding. J Obstet Gynecol India. 2011;61:426-30.

Ghosh BK, Sengupta KP. A study of the endometrium and cystohormonal pattern in functional uterine bleeding. J Obstet Gynaeol India. 1968:310-6.

Davey DA. Dysfunctional uterine bleeding. In: Whitfield CR editor: Dewhurst's textbook of Obstetrics and Gynecology for postgraduates. 4th ed. London: Blackwell Science. 1995:624-645.

Subedi S, Banerjee B, Manisha C. Thyroid disorders in women with dysfunctional uterine bleeding. J Pathol Nepal. 2016;6(12):1018-20.

Komathi R, Mallika A, Sangeerani M. Int J Curr Med Pharma Res. 2016;2(10):825-7.

Israel SL, Mazer C. The safety and advantage of office curettage. Am J Obstet Gynaec. 1938;36:445-53.

Hamblen EC. Use of female sex hormones in clinical practice. Surg Gynec Obst. 1942;74:490-5.

Joshi SK, Deshapande DH. Clinico- pathological study in 274 cases of dysfunctional uterine hemorrhage. J Obstet Gynaecol India. 1964;14:360-71.

Rosario YP. Dysfunctional uterine bleeding in the postmenopausal age (a review of 137 cases). J Obstet Gynaec India. 1969;19:606.

Muzzafar M, Akhtar KAK, Yasmin S, Rehman M, Iqbal W, Khan MA. Menstrual Irregularities with excessive blood loss: a clinico-pathological correlation. J Pak Med Assoc. 2005;55:486-9.

Mehrotra VG, Mukerjee K, Pandey M, Samant V. Functional uterine bleeding (A review of 150 cases). J Obstet and Gynecol India. 1972;22:684-9.

Nair R, Mallikarjuna M. Clinical profile of patients with abnormal uterine bleeding at a tertiary care hospital. Int J Reprod Contracept Obstet Gynecol. 2015;4:1753-7.

Verma R. A study on abnormal uterine bleeding in perimenopausal age in rural Bihar. J Med Sci Res. 2016;4:9262-74.

Pilli GS, Sethi B, Dhaded AV, Mathur PR. Dysfunctional uterine bleeding (Study of 100 cases). J Obstet Gynaecol India. 2002;52(3):87-9.

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Published

2019-10-23

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Original Research Articles