Vol. 5, Issue 8 (2019)
Histopathological study of endometrium in abnormal uterine bleeding
Author(s): Somu Sharmila Kumari, Badam Rajani Kumari, Pendem Shobarani, B Sri Veda Priya
Abstract: Background: Abnormal uterine bleeding is a common problem among women in the reproductive age group. Its prevalence is 9-14% women worldwide and in India it is 17.9%. The acronym PALM COEIN was introduced in 2011 by FIGO to standardize the nomenclature of AUB. AIM: To study the histopathological pattern of endometrium in women of different age groups presenting with AUB and its importance. Materials and Methods: This was an observative analytical study done among 100 patients of AUB attending Gynaec OPD in Government Victoria Hospital, Andhra Medical College, Visakhapatnam from May 2018 to April 2019. Endometrial Curettage was done in all AUB patients of age > 40 years and in < 40 years with risk factors for endometrial carcinoma and samples were sent for histopathological examination. Observation and Results: AUB was more common in the age group of 36-45 years (61%) in para 2 (50%). Organic lesions were found in 60% and 40% were dysfunctional. Fibroids were most common (35%) of the organic causes of AUB. Histopathology of endometrium showed proliferative pattern in 42% and next to it was Secretory endometrium in 39% Conclusion: Although hysteroscopic evaluation is gold standard for AUB, endometrial curettage continues to be performed in public hospitals.
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