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:: Volume 10, Issue 1 (4-2024) ::
Caspian J Reprod Med 2024, 10(1): 5-10 Back to browse issues page
Endometrial pathologies in abnormal uterine bleeding: prevalence, patterns, and perspectives: A cross sectional study
Mahesh Asalkar * , Ilaaf Rumani , Mangal Supe , Smita Thakkarwad , Sinchana R
Department of Obstetrics and Gynaecology, PGI-YCMH Pimpri Pune 411018(MS) India, Department of Obstetrics and Gynaecology,PGI-YCMH Pimpri Pune 411018(MS), India , mahesh@asalkarclinic.com
Abstract:   (772 Views)
Background: Abnormal uterine bleeding (AUB) is a common gynecological challenge, stemming from various endometrial pathologies. This study aims to assess their prevalence, age distribution, symptomatology correlation, and compare sampling techniques.
Methods: This prospective cross-sectional study was conducted at a single teaching institute, involving 150 female participants aged between 18 and 70 years who presented with AUB. Endometrial samples were collected using one of three methods: OPD Pipelle brush, surgical dilatation and curettage (D&C), or hysteroscopy.
Results: The study found 41-50-year-olds most affected by AUB (40%), with 64% having given birth three or more times. Proliferative and secretory changes were common (35.3% and 16% respectively). Endometrial hyperplasia without atypia occurred in 12% and with atypia in 4.7%. Endometrial carcinoma was in 3.3% and polyps in 5.3% of cases. Heavy menstrual bleeding with normal duration affected 64%. Technical challenges included sampling failure in 2 pipelle biopsies and 7 D&C cases. Inadequate samples were obtained in 2 pipelle biopsy and 5 D&C cases. Uterine perforation occurred once, managed conservatively.
Conclusion: Our study underscores the burden of endometrial pathologies in AUB patients with predominant proliferative and secretory changes. Sampling challenges, particularly with pipelle biopsy and D&C, emphasize the need for refining methods and exploring alternatives like transvaginal sonography and hysteroscopy to enhance diagnostic accuracy and patient outcomes in AUB management.
Keywords: Abnormal Uterine Bleeding (AUB), Cross-sectional Study, Endometrial Pathology, Endometrial Sampling Techniques, Evaluation
Full-Text [PDF 706 kb]   (93 Downloads)    
Type of Study: Original Research | Subject: Obstetrics and Gynecology
Received: 2024/02/26 | Accepted: 2024/05/2 | Published: 2024/05/11
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Asalkar M, Rumani I, Supe M, Thakkarwad S, R S. Endometrial pathologies in abnormal uterine bleeding: prevalence, patterns, and perspectives: A cross sectional study. Caspian J Reprod Med 2024; 10 (1) :5-10
URL: http://caspjrm.ir/article-1-231-en.html

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Volume 10, Issue 1 (4-2024) Back to browse issues page
Caspian Journal of Reproductive Medicine
Caspian J Repord Med: Infertility and Reproductive Health Research Center of Babol University of Medical Sciences, Babol-Amol old highway, after Mohammadhasan Khan bridge, Babol, Mazandaran, Iran, P.O. Box: 47135-547 Tel: +98-11-32274881-2 Fax: +98-11-32274880 E-mail: info@caspjrm.ir Website: www.caspjrm.ir
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