Clinicopathological observation of Abnormal uterine bleeding in peri-menopausal age female

Snehkiran,; Abhilashi, Kavya; Tiwary, Bhawana; Sinha, Archana; Parwina, Pammy

doi:10.33545/gynae.2019.v3.i1c.23

Cited by 2 publications

(2 citation statements)

References 7 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…In our study, the mean age of participants was 45.96 years, aligning with the findings of Suseela T L et al [7] . Regarding parity distribution, 80% of women in our study were multiparous, a result consistent with studies by Mohammed N et al [8] , Lotha L et al [3] , and Snehkiran et al [9] . Body Mass Index (BMI) was assessed in our study and compared with the research of Sajitha et al [10] (2014) and Mishra D et al [4] (2017).…”

Section: Discussionsupporting

confidence: 92%

A study to correlate clinical with pathological findings in abnormal uterine bleeding (AUB)

Avasthi,

Bhavani,

Gilhotra

et al. 2023

Int. J. Clin. Obstet. Gynaecol.

View full text Add to dashboard Cite

Introduction: Abnormal uterine bleeding (AUB) poses a significant health and financial burden, especially in perimenopausal women. Despite the PALM-COEIN classification, gaps persist in correlating clinical and histopathological aspects. Our study, utilizing diagnostic modalities like Ultrasonography, Hysteroscopy, and Endometrial sampling, seeks to enhance diagnostic precision in AUB, contributing to improved management strategies and patient outcomes. Materials and Methods: This descriptive study investigated Abnormal Uterine Bleeding (AUB) in 126 women aged 35 and above at our hospital from September 2019 to February 2021. The study utilized the PALM-COEIN classification system for categorizing AUB causes. Inclusion criteria covered various AUB presentations, while exclusion criteria excluded specific conditions. Data collection involved a structured proforma, and diagnostic interventions encompassed Ultrasonography, Hysteroscopy, and Endometrial sampling. Statistical analysis employed various measures, including the concordance index and Chi-square test, utilizing SPSS 21. Results: This hospital-based study enrolled 126 women presenting with abnormal uterine bleeding (AUB), offering comprehensive insights into their demographic, clinical, and histopathological profiles. The mean age of the cohort was 45.96 years, with a notable concentration in the 40-44.99 age group. The majority resided in urban areas (96.83%) and belonged to the upper middle class (65.87%), with housewives constituting 97.62%. AUB patterns, including irregular bleeding (56.35%) and postmenopausal bleeding (15.87%), were meticulously examined. Comorbidities, predominantly hypertension (31 patients) and hypothyroidism (22 patients), were identified in 60 patients. Ultrasonography revealed Leiomyoma in 54.76% and Adenomyosis in 24.6%. Clinical diagnoses, utilizing the PALM-COEIN classification, highlighted AUB-L as the primary cause (54.76%). Diagnostic modalities such as Hysteroscopy, Hysterectomy, and concordance analyses contributed to enhanced diagnostic precision, emphasizing the multidimensional approach imperative for effective AUB management in clinical practice. Conclusion: Our study underscores the efficacy of the PALM-COEIN classification in correlating clinical and histopathological findings for Abnormal Uterine Bleeding (AUB). Leiomyoma emerged as the primary etiology, showcasing the classification's utility in identifying dual pathologies. Histopathological examination significantly complemented clinical diagnoses, emphasizing the system's value in optimizing patient care.

show abstract

Section: Discussionsupporting

confidence: 92%

A study to correlate clinical with pathological findings in abnormal uterine bleeding (AUB)

Avasthi,

Bhavani,

Gilhotra

et al. 2023

Int. J. Clin. Obstet. Gynaecol.

View full text Add to dashboard Cite

show abstract

“…A study carried out in Turkey also shows that most women of middle age from 31 to 40 years mostly suffer from abnormal bleeding of the uterus [13][14] . In this study, a comparison of the histopathological studies and sonographic studies was done on hysterectomy specimens were done, and most of the patients had fibroid uterus and thick endometrium walls which is exactly the results obtained in our study.…”

Section: Discussionmentioning

confidence: 98%

Correlation of Sonographic Findings and Histopathological Examination of Hysterectomy Specimens in Perimenopausal Patients with Abnormal Uterine Bleeding

Johar¹,

Riaz²,

Akhtar³

et al. 2023

PJMHS

View full text Add to dashboard Cite

Background: Abnormal uterine bleeding (AUB) is a frequent prenatal problem that affects the women of all ages. AUB is the condition in which vaginal bleeding occur in the absence of pregnancy. The most common and easily available imaging procedure is the ultrasonography. Our study aimed to investigate the correlation between sonographic findings and histopathological examination of hysterectomy specimens in perimenopausal women with AUB. Study design: It is a cross-sectional study conducted at Lady Willingdon Hospital Lahore and Divisional Headquarters Teaching Hospital Mirpur, Azad Kashmir for the duration of six months from July 2022 to December 2022. Material and Methods: This study on hysteroscopy was carried out on 50 patients suffering from uterine bleeding and having a biopsy. All the patients selected in the given study were according to the inclusion criteria, while those patients were excluded that do not fulfill the inclusion criteria. Most of the patients included in this study had ages between 31 to 41 years. The study was approved by the review and ethical board committee of the hospital. Results: Most patients having this ultrasonography had fibroid and bulky uterus. Only a few had Adenomyosis and thick endometrium. Neglectable patients had an endometrial polyp and malignancy issues. The sensitivity value for the normal endometrium used as a control was at an acceptable range and it was used as the control for the further evaluation of other attributes. Conclusion: For the diagnosis of abnormal uterine bleeding, hysteroscopy is an excellent diagnostic tool and it is highly efficient for the estimation of pathological issues of the endometrium wall. Keywords: Abnormal uterine bleeding, sonography and histopathological examination.

show abstract

Clinicopathological observation of Abnormal uterine bleeding in peri-menopausal age female

Cited by 2 publications

References 7 publications

A study to correlate clinical with pathological findings in abnormal uterine bleeding (AUB)

A study to correlate clinical with pathological findings in abnormal uterine bleeding (AUB)

Correlation of Sonographic Findings and Histopathological Examination of Hysterectomy Specimens in Perimenopausal Patients with Abnormal Uterine Bleeding

Contact Info

Product

Resources

About