Title: Evaluation of causes of AUB in hysterectomy specimens in women in different age groups: A Retrospective study of 5 years

Authors: Jain Uma, Ghanghoria Shikha, Khare Vivek, Rajput Minakshi, Argal Varsha, Jat Kiran

 DOI:  https://dx.doi.org/10.18535/jmscr/v6i3.59

Abstract

Objectives: To find the incidence of leiomyoma and endometrial lesion as the cause of AUB in women in different age groups.

Materials and Methods: A retrospective study was conducted on 612 of patients presenting with abnormal uterine bleeding over period of five years.

Result: Age of patients ranged from 17 to 79 year. Most commonly encountered in 4th Decade of life. The commonest pathology irrespective of the age group was disordered proliferative pattern. In my study  among 612 patient undergoing hysterectomy causes were leiomyoma ( 68%),Adenomyosis ( 08 %), Leiomyoma and adenomyosis( 15 %),Endometrial polyp( 3 %) Endometrial hyperplasia (3.1 %) endometrial carcinoma (3.2%).

Discussion: Abnormal uterine bleeding is the most common cause for a women to consult a gyneacologist. Etiology is different for various age groups. Maximum cases of AUB in our study was observed in perimenopausal age group. Leiomyoma is common finding in women with AUB followed by adenomyosis. Cases of endometrial polyp and endometrial carcinoma reported mostly occurs in postmenopausal age group.

Conclusion: In this study leiomyoma was found to be the most common cause for AUB and hysterectomies, followed by adenomyosis in women with peak incidence in the perimenopausal age group.

Keywords: Abnormal uterine bleeding, Leiomyoma, Endometrial lesion.

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Corresponding Author

Ghanghoria Shikha