A study of role of colour Doppler in evaluation of abnormal uterine bleeding at medicine and gynecology departments at a tertiary care institute of central India

Bhattacharjee, Somen; Jamra, Yogendra; Sharma, Shiv Shankar; Dongre, Neetu

doi:10.18203/2320-1770.ijrcog20160843

Cited by 2 publications

(2 citation statements)

References 8 publications

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“…Data of 162 patients with the age between 18 to 80 years old from community was included and presented with abnormal uterine bleeding .In this study the mean age of the women reported with abnormal uterine bleeding was 38±5 Years while in another study conducted by Angela Pascual et al was reported 44±6years and Bhattacharjee S et al reported in 2016 in his study that most of the female presented with AUB were belong to age group 30-45 years . [11][12] It our study the most common cause of abnormal uterine bleeding was leiomyoma's (Figure 1) which were found in about 70 (43.3%) out of 162 cases similarly in a study of N Bhavani et al 13 , Bharat Talukdar et al 14 , also found that the most common cause of abnormal uterine bleeding are Fibroids. Our study is also comparable with the findings narrated in a prospective study by Shagufta Shaheen et al, in which 47.10% cases had leiomyoma's.…”

Section: Discussionsupporting

confidence: 72%

Uterine Artery Doppler Indices in the Various Causes of Abnormal Uterine Bleeding Confirmed with Histopathology

Amin¹,

Bacha²,

Farooq³

et al. 2022

PJMHS

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Background: All disturbed pattern of bleeding which arises due to different reasons such as anovulation, pregnancy, uterine abnormalities and coagulopathies is termed as abnormal uterine bleeding (AUB). Abnormal uterine bleeding is present in many forms such as heavy bleeding, short menstrual cycle, excessive and heavy menstruation, uterine bleeding at irregular period, excessive and prolonged uterine bleeding. Abnormal uterine bleeding is mostly caused by benign findings such as endometrial hyperplasia or atrophy or benign polyps. Around 5–12% of Abnormal uterine bleeding results from Endometrial Cancer. Objective: Uterine artery Doppler indices in various causes of abnormal uterine bleeding confirmed with histopathology. Methodology: A Cross-sectional Analytical study was conducted at Shireen Ultrasound Clinic Peshawar, Pakistan. This study enrolled a purposive sample of 162 patients presenting with abnormal uterine bleeding with the age between 18 to 80 years. The examination was performed with Toshiba Nemio 20(Xario Prime with TVS Probe frequency range 7-14MHz) .The Resistive index(RI), Pulsatility index(PI), mean and standard deviation were calculated for the continuous variables. Results: A total of 162 patients were enrolled in our study. The mean age of patients was recorded 38±5 years. In this study, the histopathological findings were as follow, 8.6% adenomyosis,12.3% endometrial hyperplasia, 43.3% leiomyoma’s, 17.3% polyp, 2.5% endometrial carcinoma and 16% non-specific findings so the most common cause of abnormal uterine bleeding was leiomyoma’s with mean of Right Uterine artery (U-A) PI and RI was 3.33±1.23 and 0.83±0.03 respectively and left U-A PI and RI was 2.95±1.17 and 0.84±0.03 respectively while the least common cause was endometrial carcinoma with mean of Right U-A PI and RI was 2.54±1.08 and 0.52±0.01 respectively and of Left U-A PI and RI was 1.62±0.00 and 0.52±0.00 respectively. Conclusion: From our study we concluded that the uterine artery RI in endometrial carcinoma causing abnormal uterine bleeding is low and in benign condition like polyp, hyperplasia and fibroids is high. Keywords: Uterine bleeding, Carcinoma, Fibroids, Hyperplasia, Trans-vaginal ultrasound

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Section: Discussionsupporting

confidence: 72%

Uterine Artery Doppler Indices in the Various Causes of Abnormal Uterine Bleeding Confirmed with Histopathology

Amin¹,

Bacha²,

Farooq³

et al. 2022

PJMHS

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“…In women with postmenopausal bleeding, numerous studies have established TVS-ET as an initial screening procedure to ascertain whether a cut off limit for endometrial thickness can be proposed to rule out endometrial pathology [ 3 , 6 ]. Endometrial stripe cut off values widely ranging from 3 to 14 mm have been suggested in various studies to detect endometrial pathology in premenopausal women also [ 7 , 8 ].…”

Section: Introductionmentioning

confidence: 99%

Endometrial Cut Off Thickness as Predictor of Endometrial Pathology in Perimenopausal Women with Abnormal Uterine Bleeding: A Cross-Sectional Study

Kumari

Gaikwad

Nath

2022

Obstetrics and Gynecology International

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Purpose. We aim to determine the predictive value of endometrial thickness by transvaginal ultrasonography (TVS) in diagnosing endometrial pathology and to evaluate whether Doppler complements its diagnostic efficacy in perimenopausal women with abnormal uterine bleeding. Methods. This cross-sectional observational study was conducted among 70 perimenopausal women with AUB who underwent TVS measurement of endometrial thickness (ET) and Doppler flow indices followed by endometrial sampling and histopathological examination (HPE). Results. In HPE, 51 (73%) women had normal diagnosis while 19 (27%) women had neoplastic histology either benign or malignant. They were categorised into group I and group II, respectively. There was a significant difference in age ( P = 0.001 ) and incidence of obesity ( P = 0.01 ) between the two groups. The ETs measured in group I and group II were 7.89 ± 2.62 mm and 14.07 ± 3.96 mm, respectively, with significant difference ( P < 0.001 ). A TVS-ET of 10.5 mm had the highest sensitivity and specificity of 89.5% and 86.3%, respectively, PPV of 70.68%, NPV of 95.68%, LR+ of 6.52, and LR− of 0.12. Doppler flow velocimetric study of endometrial and uterine vessels did not demonstrate a significant difference. Conclusions. Women in perimenopause with AUB should be offered to undergo endometrial sampling for histopathological examination if TVS ET ≥10.5 mm. The coexisting risk factors especially higher age (>45 years) and obesity (BMI>30) significantly escalate the chances of developing endometrial pathology.

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A study of role of colour Doppler in evaluation of abnormal uterine bleeding at medicine and gynecology departments at a tertiary care institute of central India

Cited by 2 publications

References 8 publications

Uterine Artery Doppler Indices in the Various Causes of Abnormal Uterine Bleeding Confirmed with Histopathology

Uterine Artery Doppler Indices in the Various Causes of Abnormal Uterine Bleeding Confirmed with Histopathology

Endometrial Cut Off Thickness as Predictor of Endometrial Pathology in Perimenopausal Women with Abnormal Uterine Bleeding: A Cross-Sectional Study

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