Abstract
Background: Abnormal uterine bleeding (AUB) affects as many as one-third of reproductive-aged women. Women with AUB may experience pain, embarrassment and inconvenience that can have a significant impact on their lives. This study was carried out aiming to assess the pattern and possible causes of abnormal uterine bleeding in reproductive aged women in Arar city, Northern Saudi Arabia. Methods: The study was conducted at Maternal and Child Hospital of Arar City, during the period from 1/5/2017 to 30/7/2017. Data collected by personal interview with cases and filling a pre-designed online questionnaire. Collected data was coded and analyzed using statistical package for the social sciences (SPSS, version 16). Descriptive statistics for the quantitative and qualitative variables were used. Results: In our study 100 women were included, with mean age 30.5±6.9, mean age of menarche was 13.1 (±1.8) and 52% of them had regular menses. Pattern of bleeding was menorrhagia in 52%. The cause of bleeding was dysfunctional uterine bleeding in 59% of cases, Intrauterine device complications in14%, Uterine fibroid in 12% of cases and contraceptive pills complications in 15%. Only 13% of them treated surgically while 87.0% treated medically. Conclusion: The most common cause of abnormal uterine bleeding was endometrial hyperplasia (in 59%), and the contraceptive pills complications comes in the second place (in 15%), then the Intrauterine device complications (in 14%) and the uterine fibroid (in 12%). Health education sittings is recommended to increase the public awareness about the causes and importance of seeking medical care during AUB attacks specially in premenopausal period.
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