{"paper_id":"470f6163-1953-4106-89fe-b5c1d7cede33","body_text":"- Visibility 1.2k Views\n- Downloads 333 Downloads\n- Permissions\n- CrossMark\n- Citation\nAbnormal uterine bleeding: A study of its clinical spectrum and incidence of histopathological patterns of endometrium as a function of age with parity\n- Author Details:\n-\nNidhi Golecha\n-\nVarsha Porwal\nIntroduction: Abnormal uterine bleeding (AUB) is a common complaint affecting majority of pre and postmenopausal women. Endometirum is a dynamic tissue and is affected by a wide range of histopathological lesions. The causes of AUB is a function of age.\nAim and Objective: to study the histopathological pattern in cases of AUB in reference age, parity and bleeding pattern. Patients were categorized into reproductive (<40>50 years).\nMaterials and Methods: A total of three hundred patients presenting with AUB are included in this study.\nObservation and Results: In this study patient ranged from 20 to 70 years and the mean age of the cohort was 43.46±8.07. Major parity category noted in the cohort was para-2 in 89 patients (29.67%). Major bleeding pattern observed in the cohort was menorrhagia (32.33%); followed by metrorrhagia (19.67%), menometrorrhagia (16.33%), postmenopausal bleeding (12.67%), polymenorrhoea (9.67%), polymenorrhagia (5%) and continuous bleeding (1%). Histopathological pattern observed in AUB patients was proliferative phase endometrium (31.33%), secretory phase endometrium (21.67%), menstrual endometrium (1.33%). atrophic endometrium (6%), disordered proliferation (3.33%), mixed pattern (1%), polyp (10.67%), metaplasia (9.67%), hyperplasia (8.67%), endometritis (2.67%), adenocarcinoma (1.67%) and insufficient (2%).\nConclusion: The causes of AUB are function of age; perimenopausal age group is the most common affected. Dilatation & Curettage is cost effective, useful procedure but organic lesions such as leiomyoma and adenomyosis can be missed. AUB is a common disorder affecting females and is a challenge to the treating gynaecologist.\nKeywords: Endometrium, Premenopausal, Postmenopausal, Hyperplasia, Polyp.\nHow to Cite This Article\nVancouver\nGolecha N, Porwal V. Abnormal uterine bleeding: A study of its clinical spectrum and incidence of histopathological patterns of endometrium as a function of age with parity [Internet]. Indian J Obstet Gynecol Res. 2018 [cited 2026 Jun 14];5(3):339-343. Available from: https://doi.org/10.18231/2394-2754.2018.0078\nAPA\nGolecha, N., Porwal, V. (2018). Abnormal uterine bleeding: A study of its clinical spectrum and incidence of histopathological patterns of endometrium as a function of age with parity. Indian Journal of Obstetrics and Gynecology Research, 5(3), 339-343. https://doi.org/10.18231/2394-2754.2018.0078\nMLA\nGolecha, Nidhi, Porwal, Varsha. \"Abnormal uterine bleeding: A study of its clinical spectrum and incidence of histopathological patterns of endometrium as a function of age with parity.\" Indian J Obstet Gynecol Res, vol. 5, no. 3, 2018, pp. 339-343. https://doi.org/10.18231/2394-2754.2018.0078\nChicago\nGolecha, N., Porwal, V.. \"Abnormal uterine bleeding: A study of its clinical spectrum and incidence of histopathological patterns of endometrium as a function of age with parity.\" Indian J Obstet Gynecol Res 5, no. 3 (2018): 339-343. https://doi.org/10.18231/2394-2754.2018.0078","source_license":"CC0","license_restricted":false}