Clinical pattern and presentation of abnormal uterine bleeding

V. Sarala, Ushadevi Gopalan
In: International Journal of Reproduction, Contraception, Obstetrics and Gynecology · 2019 · vol. 9(1) , pp. 126 · doi:10.18203/2320-1770.ijrcog20195587 · W2994372508
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This study evaluated 280 patients with abnormal uterine bleeding, finding that menorrhagia was the most common pattern, predominantly seen in multiparous women aged 41-50 years.

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This cross-sectional study evaluated the clinical profile of abnormal uterine bleeding in 350 reproductive-age women presenting to a gynecology setting over one year, ultimately selecting 280 women aged 20–60 after excluding structural uterine causes (polyps, leiomyoma), malignancy, adenomyosis, and certain coagulopathies using physical examination, ultrasound, histopathology, and blood tests. The most common age group was 41–50 years (60%), and AUB was most frequent in multiparous women (48.92%). The predominant bleeding pattern was menorrhagia (52.2%). The study’s limitation is that it excludes several important gynecologic etiologies, meaning the findings specifically characterize AUB presentations after removal of those differential causes, rather than all AUB in general. The paper does not explicitly discuss endometriosis or adenomyosis; it was included in the corpus via an exclusion of adenomyosis during AUB patient selection.

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Abstract

Background: Abnormal uterine bleeding (AUB) is a very common debilitating gynecological condition among women of the reproductive age group. This diagnosis is given to women in whom no clear etiology is identified. It can occur in ovulatory and anovulatory cycle. It influences the physical, emotional, sexual and professional life of a woman. This study was carried out to evaluate the clinical profile of abnormal uterine bleeding.Methods: This cross-sectional study was carried out among 350 patients who were clinically diagnosed with AUB for a period of one year from April 2018 to March 2019. Patients with uterine polyp, adenomyosis, Leiomyoma, malignancies and with various coagulopathies were excluded from the study by physical examination, ultrasound, histopathology and blood test. The remaining 280 patients between the ages 20-60 years were selected for clinical classification of AUB.Results: Majority of the participants were in the age group of 41-50 years (60%). AUB is most commonly seen in multiparous women (48.92%). The prominent bleeding pattern seen was menorrhagia (52.2%).Conclusions: Menorrhagia is the most common form of AUB and there is a need to prevent the consequences of menorrhagia by way of creating awareness among the women, and by early diagnosis and clinical management of complications.
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Background

Abnormal uterine bleeding (AUB) is a very common debilitating gynecological condition among women of the reproductive age group. This diagnosis is given to women in whom no clear etiology is identified. It can occur in ovulatory and anovulatory cycle. It influences the physical, emotional, sexual and professional life of a woman. This study was carried out to evaluate the clinical profile of abnormal uterine bleeding.

Methods

This cross-sectional study was carried out among 350 patients who were clinically diagnosed with AUB for a period of one year from April 2018 to March 2019. Patients with uterine polyp, adenomyosis, Leiomyoma, malignancies and with various coagulopathies were excluded from the study by physical examination, ultrasound, histopathology and blood test. The remaining 280 patients between the ages 20-60 years were selected for clinical classification of AUB.

Results

Majority of the participants were in the age group of 41-50 years (60%). AUB is most commonly seen in multiparous women (48.92%). The prominent bleeding pattern seen was menorrhagia (52.2%).

Conclusions

Menorrhagia is the most common form of AUB and there is a need to prevent the consequences of menorrhagia by way of creating awareness among the women, and by early diagnosis and clinical management of complications. Metrics

References

Fraser IS, Langham S, Uhl-Hochgraeber. Health related quality of life and economic burden of abnormal uterine bleeding. Expert Rev Obs Gyn. 2009;4(2):179-89. Cheong Y, Cameron IT, Critchley HOD. Abnormal uterine bleeding. Br Med Bull. 2017;123(1):103-14. Davis E, Sparzak PB. Abnormal uterine bleeding (dysfunctional uterine bleeding), 2018. Available at: https://www.ncbi.nlm.nih.gov/books/NBK532913/. Kansal Y, Bahadur A, Chaturvedi J, Rao S, Arora H, Kumari O, et al. Spectrum of abnormal uterine bleeding: clinical pattern and endometrial pathology aspects. J Gynecol Surg. 2018;34(1):12-7. Sujatha R. Study of dysfunctional uterine bleeding in patients in a medical college hospital. Indian J Obstet Gynecol Res. 2019;6:308-11. Sinha S, Gurung P, Singa HH, Bhadani PP. Study on abnormal uterine bleeding among adult women in a tertiary care hospital in Bihar, India. Int J Reprod Contracept Obstet Gynecol. 2018;7(8):3136-40. Kotibasti T. Prevalence of different menstrual irregularities in women with abnormal uterine bleeding (AUB) - an observational study. Int J Cur Res Rev. 2015;7(10):66-70. Katuwal N, Gurung G, Rana A, Jha A. A clinicopathological study of dysfunctional uterine bleeding. J Pathol Nepal. 2014;4:635-8. Mahapatra M, Pratima M. Clinicopathological evaluation of abnormal uterine bleeding. J Health Res Rev. 2015;2:45-9.

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