Diagnostic Approach in Perimenopausal Women with Abnormal Uterine Bleeding

Abstract

Introduction Abnormal uterine bleeding (AUB) is very common problem in patient attending outpatient department, especially in perimenopausal group. Objective To study prevalence of abnormal uterine bleeding and its type in perimenopausal women as well as to compare diagnostic efficacy of ultrasonography, hysteroscopy and histopathology. Material and method The study was carried out in Department of Obstetrics and Gynecology, Era Medical College, Lucknow, in 100 patient attending outpatient department with AUB in perimenopausal age group. Observation Most of the patients were multiparous, more than 50% belong to socioeconomic class III and IV and mean age was 43.05 ± 4.09 years. Commonest complaint was menorrhagia (45%) followed by metrorrhagia in 19% and menometorrhagia in 14%. Majority of patients (85%) had uterine volume between 151 and 250 cm3. Only three patient had uterine volume more than 252 cm3. Endometrial hyperplasia was diagnosed in 14% with ultrasonography, 11% on hysteroscopy while in 15% on hystopathological examination. Conclusion In perimenopausal women with AUB, ultrasonography should be first investigation because of its freely availability, noninvasiveness and cost effectiveness. How to cite this article Verma U, Garg R, Singh S, Yadav P, Rani R. J South Asian Feder Menopause Soc 2014;2(1):12-14.

Evaluation of abnormal uterine bleeding with transvaginal sonography and hysteroscopy in perimenopausal women

“…13 Other bleeding pattern in present study was frequent bleeding (14%), intermenstrual bleeding (18%), heavy prolonged (6%) and irregular bleeding (12%). This was comparable to Urvashi et al 14 In their study, they had polymenorrhoea in (23%) of cases and metrorrhagia in (19%) of cases. Shobhita GL et al also had polymenorrhagia in 25% of patients (7%).…”