Evaluation of clinical profile of post menopausal women presenting with postmenopausal bleeding in tertiary care hospital

Authors

  • Malathi Jonna Associate professor, Department of Obstetrics and Gynaecology, SPMCW, SVIMS, Tirupathi, India
  • Akila.B Assistant professor, Department of Obstetrics and Gynaecology, SPMCW, SVIMS, Tirupathi, India
  • Sivakumar Vulava Assistant professor, Department of Pathology, SPMCW, SVIMS, Tirupathi, India

Keywords:

Postmenopausal bleeding, Endometrial carcinoma, Pap smear, Ultrasound, Carcinoma cervix.

Abstract

Objectives: 1.To evaluate the clinical profile of postmenopausal women presenting with postmenopausal bleeding2.To evaluate the causes of postmenopausal bleeding. Methods: It is a retrospective observational clinical study of 48 postmenopausal women presenting with complaints of postmenopausal bleeding who attended out-patient department of Obstetrics and Gynaecology in Sri Padmavati medical college and hospital for women, Tirupathi from the period between January 2019 - December 2019.Detailed clinical history including obstetric history, past medical and surgical history, age at menopause; onset of symptoms since menopause noted; general physical examination, systemic examination, detailed gynaecological examination including per speculum, bimanual examination performed. Pap smear, cervical biopsy and endometrial sampling and transvaginal ultrasonography was performed in all cases.Results:29.16% of the women presenting with postmenopausal bleeding were in age group 61-65 years. 31.25% (15 cases) came with complaints of postmenopausal bleeding within 1-5 years of menopause. Pap smear was abnormal in 14 cases (29.16%). Histopathology of cervical biopsy showed 16.66% (8 cases) had carcinoma cervix. Histopathology of endometrial biopsy showed atrophic endometrium in 39.58% cases, 16.66% (8 cases) had endometrial carcinoma. Conclusion:Postmenopausal bleeding is a common clinical problem in postmenopausal women. It requires immediate evaluation. Community level awareness has to be made to decrease the time between symptom presentation and evaluation and treatment.

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Published

2022-01-17

How to Cite

Malathi Jonna, Akila.B, & Sivakumar Vulava. (2022). Evaluation of clinical profile of post menopausal women presenting with postmenopausal bleeding in tertiary care hospital. International Journal of Health and Clinical Research, 5(2), 161–163. Retrieved from https://ijhcr.com/index.php/ijhcr/article/view/4069