Volume : IV, Issue : III, March - 2015

EVALUATION OF ABNORMAL UTERINE BLEEDING IN PERIMENOPAUSAL AGE GROUP

Dr. Jagruti Brahmbhatt, Dr. Y. J. Vasavada, Dr. Krutik Brahmbhatt

Abstract :

<p> Background</p> <div>One third of all gynecological consultations are because of abnormal uterine bleeding (AUB).This proportion rises </div> <div>to more than two third when perimenopausal women are considered. This study attempts to analyze place of different diagnostic modalities </div> <div>available in the evaluation of abnormal uterine bleeding in terms of accuracy of finding.</div> <div>Aims and objectives</div> <div>This study aims to analyze and compare three different diagnostic modalities (ultrasound, dilatation and curettage (D&C) and hysteroscopy) in </div> <div>evaluation of abnormal uterine bleeding. </div> <div>Material and methods:</div> <div>A total of 80 women between age group 35–50 years with h/o abnormal uterine bleeding were selected randomly and underwent ultrasonography </div> <div>as a office procedure. Out of which, cohort of 45 patients were further evaluated with dilatation and curettage followed by diagnostic </div> <div>hysteroscopy. Findings were compared and analysis was done.</div> <div>Results</div> <div>Commonest bleeding pattern came across was menorrhagia (40%). Detection rate of organic pelvic pathologies were 44.4% and 64.5% with </div> <div>ultrasonography and hysteroscopy respectively. Most common organic lesion found was fioid (20%) followed by adenomyosis (13%). On </div> <div>dilatation and curettage, most common histopathological pattern found was proliferative endometrium (55%) followed by secretory in 15.5% of </div> <div>cases. Misplaced intrauterine device was found with hysteroscopy in two of our patients.</div> <div>Conclusion:</div> <div>Diagnostic hysteroscopy together with dilatation and curettage and pelvic ultrasonography can establish an accurate diagnosis in majority of </div> <div>patients of abnormal uterine bleeding. None of the technique can replace the other but all three are complementary to each other.</div>

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Article: Download PDF    DOI : https://www.doi.org/10.36106/gjra  

Cite This Article:

Dr.Jagruti Brahmbhatt, Dr.Y.J.Vasavada, Dr.Krutik Brahmbhatt Evaluation of Abnormal Uterine Bleeding in Perimenopausal Age Group Global Journal For Research Analysis, Vol: 4, Issue: 3 March 2015

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