Abstract

Background: Post menopausal bleeding is a symptom for which medical aid is usually sought as it well known that the cause may be a malignant process. Therefore, slight bleeding in postmenopausal period should be thoroughly investigated. Dilatation and curettage of the uterus remains the most effective method for obtaining endometrial tissue for histologic evaluation.

Methods: This study was conducted in the department of obstetrics and gynaecology, Regional institute of medical science, imphal, Manipur during the period from May 2015 to November 2016. Fifty (50) female patients with post menopausal bleeding attending the Gynaecological outpatient department and the patients who were admitted in the ward were studied. The patient were subjected for collection of endometrial biopsy by conventional dilatation and currettage.

Results: The age of the patients with postmenopausal bleeding ranges from 45 years to 70 years with a mean menopausal age of 48.64 years. The lowest menopausal age in this study was 45 years and the highest 53 years. Maximum postmenopausal bleeders were found in the age group of 48 to 50 years constituting 48 percent. On the basis of the stromal and glandular component, proliferative endometrium was diagnosed in 70 percent, irregular shedding of endometrium in 8 percent, atrophic endometrium in another 8 percent and glandular hyperplasia in 6 percent. There were two percent cases of endometrial carcinoma found in this study.

Conclusion: Any postmenopausal bleeding may be significant and requires a full and complete evaluation. Dilatation and currettage is the most accepted method of evaluation for postmenopausal bleeding but there is a still need for further evaluation of postmenopausal bleeding.

Keywords- Post menopausal bleeding, Dilatation and Curettage, Menopause.