A Study on Abnormal Uterine Bleeding in Perimenopausal Age in Rural Bihar

Title: A Study on Abnormal Uterine Bleeding in Perimenopausal Age in Rural Bihar

Author: Rashmi Verma

DOI: http://dx.doi.org/10.18535/jmscr/v4i2.30

Abstract

References

Corresponding Author

Abstract

Objective: The aim of present study is to know the incidence of various aetiopathological factors in cases of abnormal uterine bleeding in women with perimenopausal age. Clinical correlation of Abnormal Uterine bleeding with age, parity, marital status, socio economic status and different medical disorders and drug intake. Outcome and response to different types of treatment both medical or surgical.

Methods: The present study was carried out in the Department of Obstetrics and Gynaecology KMCH Katihar. The study material consisted of 200 women between the ages of 40-55 years presenting with abnormal uterine bleeding in Outpatient Department of Obstetrics and Gynecology as well as those admitted in the wards. Detailed clinical history, physical examination, investigations were carried out and treatment was done according to the cause of abnormal uterine bleeding, socioeconomis status, severity of the disease and wish of the patient

Results: Incidence of abnormal uterine bleeding in perimenopausal women in KMCH, during the study period was 14.35%. Maximum no. of cases 69% were in the age group of 40-45 years. It is evident from our study that abnormal uterine bleeding is much more common in multiparous women than in nulliparous women. Out of 200 cases 75% were multiparae with parity 1-4, 20% cases were grand multiparae and only 5% were nulliparae. 76% cases were muslims 68% belong to middle and 21% lower socioeconomic class. In present study, no organic cause could be found in 55%, of cases and were labeled as Dysfunctional uterine bleeding after proper investigations. Organic causes were found in 45% of the cases. Among organic causes 27% of the cases were due to fibromyoma of uterus. Adenomyosis and PID found in 3% and 3% cases respectively. Rest of the class distributed only 1-2% of cases.

Conclusion: Abnormal uterine bleeding is more commonly seen in 4^th decade of life. Any deviation from normal pattern must be investigated as organic causes form important aetiological factor in this age group.

Hysterectomy was the treatment of choice in majority of patients.

Keywords:Abnormal uterine bleeding, perimenopausal age, fibroid, hysterectomy.

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