Abnormal Uterine Bleeding in Perimenopause

Shivaji,; Hiremath,

doi:10.14260/jemds/2016/772

Cited by 4 publications

(4 citation statements)

References 21 publications

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“…Out of the study group, 76.5% women complained of menorrhagia, 15.6% with menometrorrhagia, 3.2% with polymenorrhea and oligomenorrhea each. In June 2016, Shivaji Neelgund et al [7] , in Pondicherry have done similar study and also found menorrhagia as common symptom in perimenopausal women. However they found that the next common symptom was metrorrhagia as compared to our study where menometrorrhagia was second most common symptom.…”

Section: Discussionmentioning

confidence: 61%

Common pattern of menstrual abnormalities amongst women presenting to gynecological outpatient department in a tertiary care hospital

Tk¹,

Sowmya²

2020

Int. J. Clin. Obstet. Gynaecol.

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It is very important to know about the various menstrual irregularities and its associated symptoms as it is important for their effective management in order to make these days less troublesome and tolerable for the women and hence help them carry on with their daily work with ease. This was a retrospective study done on patients of perimenopausal age group (40-52 years) who presented with AUB, to the department of obstetrics and gynaecology in a medical teaching college hospital. In our study, it has been observed that most of the women i.e., 71.9% belonged to the age group of 40-45 followed by (18.8%) of women belonging to the age group of 49-52. Most women considered in our study i.e., 53.1%, had been married for two to three decades when they came to the hospital with AUB. A majority of the patients i.e., 79.8 were anemic with Hb counts less than 11. 21.9% of these women were severely anemic with Hb levels lesser than 7.

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Section: Discussionmentioning

confidence: 61%

Common pattern of menstrual abnormalities amongst women presenting to gynecological outpatient department in a tertiary care hospital

Tk¹,

Sowmya²

2020

Int. J. Clin. Obstet. Gynaecol.

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“…Despite existing difference in study population, generally, menorrhagia is still the common type of bleeding in perimenopausal women with AUB. [ 34 35 36 ] Dilation and curettage by Karman cannula is considered as an adequate method for the hemorrhagic treatment and endometrial sampling biopsy, thus, almost cases underwent this interventional procedure in our study [ Figure 3 ]. [ 37 ] According to Gupta et al ., the use of Karman cannula resulted in less pain and is a much cheaper option in comparison to Pipelle.…”

Section: Discussionmentioning

confidence: 99%

Evaluating Clinical Features in Intracavitary Uterine Pathologies among Vietnamese Women Presenting with Peri-and Postmenopausal Bleeding

Nguyen

Nguyen²

2022

Journal of Mid-Life Health

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Background: Intracavitary uterine pathologies (IUPs) may be resulting in vaginal bleeding in perimenopausal and postmenopausal women. Especially, malignant disease needed to be investigated due to its adverse impact on the quality of mid-life women as well as the burden of health-care costs in low- and middle-income countries such as Vietnam. Objective: Thereby, through this study, we aimed to assess the major clinical features of IUPs in women with perimenopausal and postmenopausal bleeding women. Materials and Methods: This was a cross-sectional observational study at Hue University Hospital and Hue Central Hospital from June 2016 to June 2019. The study enrolled 150 women above 40 years old involving with intrauterine bleeding. Results: The mean age of the study population was 51.51 ± 7.65. The most common symptom in perimenopausal women was menorrhagia, up to 62.2% of cases. In addition to intrauterine bleeding, there were 54.7% of cases had at least one other functional symptom, they were pale skin (35.9%), and lower abdominal pain (31.3). Endometrial hyperplasia (EH) was the most common pathology in both groups with perimenopausal and postmenopausal bleeding (PMB), respectively, 66.7% and 51.7%. In PMB group, endometrial cancer (EC) occupied approximately 38.3% following EH. Our study revealed age, menstrual characteristics, and diabetes in relation to malignant disease. Other factors seemed to be less associated with EC. Conclusions: Menorrhagia was the most common type of abnormal uterine bleeding in perimenopausal women. Besides vaginal bleeding, others symptoms such as pale skin, pelvic pain, and fatigue were also common. Length day and blood loss before hospitalization in perimenopausal women were greater significantly than that in postmenopausal women. Age, menstrual characteristics, and diabetes increased the risk of EC in women with PMB.

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“…Clinically AUB manifests as menorrhagia, polymenorrhea, polymenorrhagia, metrorrhagia, menometrorrhagia, intermenstrual bleeding, etc. 6,7,8 When unscheduled bleeding occurs, especially if it is heavy or prolonged, further investigations such as trans-vaginal ultrasound and, hysteroscopy with biopsy if indicated, are needed. 9 The accuracy of endometrial biopsy for the detection of endometrial abnormalities has been reported to be as high as 96%.…”

Section: Discussionmentioning

confidence: 99%

Benign Histopathologic Findings of Endometrium among Perimenopausal Women presenting with Abnormal Uterine Bleeding: A Descriptive Cross-sectional Study

et al. 2021

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Introduction: Abnormal uterine bleeding is the most common presenting complaint in the perimenopausal age group. Endometrial biopsy obtained by dilatation and curettage is the preferred modality of investigation to determine the causative pathology of abnormal uterine bleeding. The objective of this study was to find out the prevalence of the benign histopathological findings in perimenopausal women presenting with abnormal uterine bleeding. Methods: This descriptive cross-sectional study was conducted among patients between 1st June 2020 to 30th September 2021. Ethical approval was taken from the Institutional Review Committee of Kathmandu Medical College (reference number: 305202002). Using the convenience sampling method, 96 cases of endometrial biopsies were studied under light microscopy. Data was analyzed using the Statistical Package for the Social Sciences version23.0. Point estimate at 95% Confidence Interval was calculated along with frequency and proportion for binary data. Results: Among the 96 specimens, the prevalence of benign findings was 93 (96.9%) (93-100 at 95% Confidence Interval). Among them, the commonest benign histopathologic spectrum was hormonal imbalance pattern in 40 (41.7%) followed by normal menstrual pattern 35 (36.5%). Five (5.2%) cases showed chronic endometritis. Six (6.2%) cases of endometrial hyperplasia without atypia were identified. Three (3.1%) cases showed endometrial atrophy. Four (4.1%) cases showed endometrial polyp. Conclusions: The prevalence of benign histopathological findings among endometrial biopsies in the study was similar to other studies.

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Abnormal Uterine Bleeding in Perimenopause

Cited by 4 publications

References 21 publications

Common pattern of menstrual abnormalities amongst women presenting to gynecological outpatient department in a tertiary care hospital

Common pattern of menstrual abnormalities amongst women presenting to gynecological outpatient department in a tertiary care hospital

Evaluating Clinical Features in Intracavitary Uterine Pathologies among Vietnamese Women Presenting with Peri-and Postmenopausal Bleeding

Benign Histopathologic Findings of Endometrium among Perimenopausal Women presenting with Abnormal Uterine Bleeding: A Descriptive Cross-sectional Study

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