STUDY OF HISTOPATHOLOGICAL SPECTRUM OF ENDOMYOMETRIUM IN HYSTERECTOMY SPECIMENS OF PATIENTS PRESENTING WITH MENORRHAGIA IN THE AGE GROUP 31–60 YEARS EXCLUDING ABNORMAL UTERINE BLEEDING

Volume : VII, Issue : II, February - 2017

Dr. Sabari Devi, Dr. Partha Pratim Barman

BACKGROUND :–Menorrhagia refers to excessive or prolonged menstrual bleeding occurring

at regular intervals. There are many possible causes of heavy menstrual bleeding which include

hormonal imbalance,fioids, miscarriage or ectopic pregnancy, nonhormonal intrauterine

device, adenomyosis,pelvic inflammatory disease, and rarely uterine, ovarian, or cervical cancer.

hystercetomy is one of the most common surgical treatment for menorrhagia .

AIM:– The aim of our study was to find out the causes of menorrhagia by histopathological

examination of hysterectomy specimens excluding the cases of abnormal utereine bleeding

STUDY DESIGN:– The present study was conducted in the Department of Pathology of

GAUHATI MEDICAL COLLEGE AND HOSPITAL,GUWAHATI,ASSAM over a period of 1¹/₂years.

A total of 425 hysterectomy specimens with or without salpingo–oophorectomy were subjected

to examination

.

RESULT:– leiomyoma being the commonest cause 42%(n=178)followed by adenomyosis

22%(n=93) ,16%(n=68)showed endometrial polyp,12%(n=51)showed dual pathology of

leiomymoma and adenomyosis, 6%(n=26)showed chronic endometritis and 2%(n=9) showed

malignant entity.

CONCLUSION:–Leiomyoma and adenomysosis are the most common lesion in patients

presenting with menorrhagia