A STUDY OF DYSFUNCTIONAL UTERINE BLEEDING: CLINICAL FACTORS AND ENDOMETRIAL HISTOLOGY

Abstract

Present study reports the (A) Clinical factors associated with DUB including 1) Incidence in different age groups. 2) Influence of parity in DUB. 3) Pattern of bleeding seen in DUB. 4) Influence of tubectomy, recent delivery and IUCD insertion on the incidence of DUB. 5) Association of DUB with medical diseases like diabetes and hypertension and (B) Identify the histopathology of endometrial curettage in cases of DUB. The study is of prospective (observational) type. All patients of adolescent age group, reproductive and perimenopausal age group with history suggestive of dysfunctional uterine bleeding registered as inpatient and outpatient during the period August 1, 2010 to July 31, 2011 were studied. A total of 143 cases were selected. DUB forms about 10% of admissions in Government Medical College Hospital, Thrissur. Out of 156 cases, 143 cases were finally taken for the study. The commonest endometrial abnormality was proliferative endometrium. Anovulatory bleeding constituted 70% and ovulatory bleeding 30%. Uterine curettage is an important tool as depending on the functional status of the endometrium, treatment can be planned.