Histopathological study of endometrial curettings in abnormal uterine bleeding: A hospital based study from a tertiary care centre from north India

Volume : VII, Issue : X, October - 2018

Dr. Navjot Kaur, Dr. Jagjit S. Chahal, Dr. Sunil Raina

INTRODUCTION: The etiology of menstrual dysfunction is quite varied. Therefore histopathology of endometrial samples plays a significant

role in arriving at the etiological basis of menstrual dysfunction. This study was carried out to determine the histopathological pattern of the

endometrium in women of various age groups presenting with abnormal uterine bleeding (AUB).

METHODOLOGY: The current study was conducted on 100 patients attending the Department of Obstetrics and Gynaecology of a tertiary care

hospital in north India with a clinical diagnosis of AUB and undergoing dilatation and curettage (D&C) for the same. A histopathological

examination of the products of D&C was performed.

RESULTS: The chief pattern of AUB was menorrhagia (48%), followed by amenorrhea and postmenopausal bleeding (14% each),

menometrorrhagia (13%), metrorrhagia (8%), polymenorrhea (2%) and oligomenorrhea (1%). Maximum cases (88%) were in the age–group of 21–

50 years. The histopathological patterns in this age group mainly included normal proliferative (20%), secretory (16%) and hyperplasia (19%).

13% cases were pregnancy–related viz. products of conception (POC) or H. mole. The commonest histopathological patterns seen were those of

normal proliferative and secretory endometrium as well as endometrial hyperplasia.

CONCLUSION: Histopathological examination of endometrium is a major diagnostic tool in evaluation of AUB and is therefore, the key to

effective therapy and successful management of AUB.