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by claude@2026-06, 2026-06-08
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This retrospective study analyzed 111 hysterectomies for abnormal uterine bleeding, finding dysfunctional uterine bleeding most common, followed by adenomyosis and leiomyoma, with age influencing endometrial histology.
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by claude@2026-06, 2026-06-11
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This retrospective study analyzed histopathological findings and their correlation with age, parity, and bleeding patterns in 111 patients undergoing hysterectomy for abnormal uterine bleeding between June 2016 and May 2017. Most patients were in their 4th–5th decades (81.08%) and multiparous (93.7%), with menorrhagia being the most common presenting complaint (58.57%); histology showed dysfunctional uterine bleeding in 51.35% and organic lesions in 48.65%, with adenomyosis most frequent among organic lesions followed by leiomyoma. The authors report that age influences endometrial histology and that there is no constant relationship between endometrial histology and bleeding type. This paper is centrally about adenomyosis and abnormal uterine bleeding — it reports adenomyosis as the most common organic lesion found on histopathology in hysterectomy specimens for abnormal uterine bleeding, directly relating to adenomyosis.
Abstract
Introduction: Abnormal uterine bleeding is considered as one of the most common and perplexing problems both to the patient and gynecologist. Histopathological diagnosis of organic cause of menorrhagia plays an important for appropriate and accurate therapy. Aims and Objectives: The present study mainly aimed at correlating histopathological findings with age, parity and bleeding pattern presented by the patient and to study various associated organic lesions in abnormal uterine bleeding. Materials and Methods: A reterospective study of 111 hysterectomies in patients with complaints of abnormal uterine bleeding over a period of one year from June 2016-May 2017. The histopathological findings with clinical data that includes age, parity, presenting symptoms and other details of the patients with abnormal uterine bleeding was collected and analyzed. Results: In this study, majority of cases were in 4th & 5th decade (81.08%) and were multiparous (93.7%). Menorrhagia was the most frequent presenting complaint (58.57%) followed by metrorrhagia in 13.51%. Of the 111 cases, 51.35% of cases showed histological features of dysfunctional uterine bleeding followed by 48.65% cases with organic lesions. Among organic lesions maximum number of cases of adenomyosis followed by leiomyoma was observed. Conclusion: Clinico-histomorphological evaluation of abnormal uterine bleeding in our study showed maximum number of dysfunctional uterine bleeding followed by adenomyosis and leiyomyoma. Age has definite influence on endometrial histology. There is no constant relationship between the pattern of endometrium and the type of bleeding in cases of abnormal uterine bleeding. Keywords: Abnormal uterine bleeding, Histomorphology, Egnndometrium.
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Introduction: Abnormal uterine bleeding is considered as one of the most common and perplexing problems both to the patient and gynecologist. Histopathological diagnosis of organic cause of menorrhagia plays an important for appropriate and accurate therapy. Aims and Objectives: The present study mainly aimed at correlating histopathological findings with age, parity and bleeding pattern presented by the patient and to study various associated organic lesions in abnormal uterine bleeding. Materials and Methods: A reterospective study of 111 hysterectomies in patients with complaints of abnormal uterine bleeding over a period of one year from June 2016-May 2017. The histopathological findings with clinical data that includes age, parity, presenting symptoms and other details of the patients with abnormal uterine bleeding was collected and analyzed. Results: In this study, majority of cases were in 4th & 5th decade (81.08%) and were multiparous (93.7%). Menorrhagia was the most frequent presenting complaint (58.57%) followed by metrorrhagia in 13.51%. Of the 111 cases, 51.35% of cases showed histological features of dysfunctional uterine bleeding followed by 48.65% cases with organic lesions. Among organic lesions maximum number of cases of adenomyosis followed by leiomyoma was observed. Conclusion: Clinico-histomorphological evaluation of abnormal uterine bleeding in our study showed maximum number of dysfunctional uterine bleeding followed by adenomyosis and leiyomyoma. Age has definite influence on endometrial histology. There is no constant relationship between the pattern of endometrium and the type of bleeding in cases of abnormal uterine bleeding.
B.H R, .K R. Clinico-histomorphological spectrum of abnormal uterine bleeding [Internet]. Indian J Pathol Oncol. 2018 [cited 2026 Jun 08];5(3):477-483. Available from: https://doi.org/10.18231/2394-6792.2018.0092
APA
B.H, R., .K, R. (2018). Clinico-histomorphological spectrum of abnormal uterine bleeding. Indian Journal of Pathology and Oncology, 5(3), 477-483. https://doi.org/10.18231/2394-6792.2018.0092
MLA
B.H, Ramesh, .K, Rajeshwari. "Clinico-histomorphological spectrum of abnormal uterine bleeding." Indian J Pathol Oncol, vol. 5, no. 3, 2018, pp. 477-483. https://doi.org/10.18231/2394-6792.2018.0092
Chicago
B.H, R., .K, R.. "Clinico-histomorphological spectrum of abnormal uterine bleeding." Indian J Pathol Oncol 5, no. 3 (2018): 477-483. https://doi.org/10.18231/2394-6792.2018.0092
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