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Indian Journal of Obstetrics and Gynecology Research

Abnormal uterine bleeding in peri-menopausal age: An observational study

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Author Details: Anupma Kumari,Ra Kumar*

Volume : 5

Issue : 4

Online ISSN : 2394-2754

Print ISSN : 2394-2746

Article First Page : 539

Article End Page : 543


Introduction: Abnormal Uterine Bleeding (AUB) is a term which refers to menstrual bleeding of abnormal frequency, duration or quantity. It is a common gynecological complaint accounting one third of outpatient visits to gynecologist. It is caused by wide variety of organic or non-organic causes. The aim of this study was to find out incidence of abnormal uterine bleeding with respect to aetiopathology, age, parity, marital status, treatment options and other medical disorders.
Materials and Methods: This study included prospective study of randomly selected 180 cases of abnormal uterine bleeding between 40–55 years of age during April 2015 to July 2016, in the Dept. of Obstetric & Gynaecology, NMCH, Patna. Details of each patient’s were recorded and analysed with respect to aetiopathology, age, parity, marital status, socioeconomic status, treatment options and other medical disorders. Patients were evaluated with menstrual history, physical examination, laboratory tests, imaging studies and histological examinations. Patients were followed up from 3 to 8 months with an average of about 4.5 months.
Results: Most common age group presenting with AUB was 40–45 years (65.55%) and mostly (68.33%) belonged to low socioeconomic status. Most of the women were multiparous and menorrhagia was most common presentation. In 51.66% cases, cause was non-organic (dysfunctional uterine bleeding) and among organic causes fibroid (28.88%) uterus was most common. Bulky uterus was found in 41.11% of cases and 43.33% had proliferative endometrium. Majority of patients had mild anemia. Maximum number of patients (70.55%) were treated surgically and 27.77% got medical treatment.
Conclusion: Abnormal uterine bleeding (AUB) is a common gynecological complaint associated with considerable morbidity and significantly affects the patient's family, personal and social life. Perimenopausal women’s health and quality of life can be maintained and improved through preventive care, life style modification, early diagnosis of risk factor or disease and appropriate treatment.

Keywords: Abnormal uterine bleeding, Perimenopausal women, Endometrium.

Doi :-https://doi.org/10.18231/2394-2754.2018.0121