A prospective study of an analytical study of abnormal uterine bleeding in women of child bearing age group in a tertiary care hospital

Abstract

Introduction: Abnormal uterine bleeding (AUB) is the most common symptom of gynecological conditions, which is defined as any type of bleeding in which the duration, frequency, or amount is excessive for an individual patient. AUB is regarded as a sign of possible uterine disease. It is the most common symptom and main complaint among Indian women of childbearing age in the gynecological clinic, accounting for 30% of gynecological outpatient clinics. Materials and Methods: This is a prospective study done in Department of Obstetrics and Gynecology, Government General Hospital, Ananthapuramu. It was done in 2 years from June 2019 to June 2021. Relevant clinical data regarding age, pattern and duration of abnormal bleeding, menstrual history, obstetric history, physical and gynaecological examination findings, laboratory investigation results, sonological reports, hysteroscopic findings and histopathological reports were obtained from patients. All data were recorded in a carefully structured proforma. Results: The most common age-group presenting with AUB was 40 to 49 years of age (58%) and the most common histological pattern was secretory (47.7%). Menorrhagia was found to be the most common problem in AUB patients (58.45%). As per PALM- COEIN classification, the most common type in our study was found to be AUB-E (26.8%). In a sub-set of patients, who underwent hysterectomy, histopathological samples were compared to endometrial samples which were similar in 81.6% cases. Conclusion: Incidence and pattern of AUB varies according to the age of the patient. It is more common in perimenopausal age-group. Classification of AUB as per PALM-COEIN helps in better understanding of disease and successful management of patients.