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Category: Volume 06 Issue 03 March 2018
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Title: Validation of endometrial curettage and histopathological examination in abnormal uterine bleeding: An tertiary centre study

Authors: Dr Aksharaditya Shukla, Dr Ashok Panchonia, Prof. Dr C V Kulkarni, Dr Poorva Agarwal

 DOI:  https://dx.doi.org/10.18535/jmscr/v6i3.220

Abstract

Abnormal uterine bleeding (AUB) is common gynecological problem and is of serious concern in developing countries as it adds to the causes of anemia. It includes bleeding which could be with or without any organic cause. It is termed as dysfunctional uterine bleeding (DUB) when there are no demonstrable pelvic or systemic diseases and no anatomical lesion. AUB may be the common presenting complaint in patients with pre-malignant or malignant endometrial lesion. Clinically AUB present as menorrhagia, metrorrhagia or polymenorrhagia. Of various modalities present for AUB diagnosis, dilation & curettage is most effective as it provide a definitive diagnosis and many a times curative also. We studied 210 females, in duration of two years who undergone D&C for evaluation of AUB. Their clinico radiological findings, drug history etc were noted and findings were co-related with histopathological findings. Mean age of presentation was 39.6 years. Reproductive age group and multipara were more commonly affected. Menorrhagia was most common clinical presentation followed by metrorrhagia and polymenorrhagia. Endometrial hyperplasia was most common cause followed by proliferative endometrium (24.28%), pregnancy complication, chronic endometritis and others. Conclusion: AUB is common gynecological problem of reproductive age group. Proper evaluation of AUB is necessary as it is common problem in reproductive age, increases the prevalence of anemia and may represent to underlying malignancies.

Keywords: Abnormal Uterine bleeding (AUB), Dysfunctional Uterine Bleeding (DUB), Menorrhagia, Metrorrhagia..

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Corresponding Author

Dr Ashok Panchonia

Associate Professor, Department of Pathology,

Mahatma Gandhi Memorial Medical College, Indore, MP India