Abstract
Abnormal Uterine Bleeding (AUB) is a common complaint that affects large numbers of women from puberty to menopause. It negatively affects health and quality of life of women affected. AUB also has an economic impact for both women and society Abnormal uterine bleeding in premenopausal women is one of the most frequent problems in gynecological practice. Although some of the cases may be due to an organic cause, over 50% of the patients undergoing hysterectomy for menorrhagia have dysfunctional uterine bleeding (DUB). To analyze the percentage and intensity of estrogen receptors (ER) and progesterone receptors (PR) in endometrium of patients with DUB. This study suggests that estrogen and progesterone receptors have an important role in etiopathogenesis of dysfunctional uterine bleeding and alteration in the morphology of endometrium such as development of endometrial hyperplasia. Women in the reproductive age who are complaining of abnormal uterine bleeding, usually have an increase in ER alpha and PR expression in their endometrium.
Highlights
Abnormal Uterine Bleeding (AUB) is a common complaint that affects large numbers of women from puberty to menopause
Majority of patients were more than 35 years, constituting 60% of total dysfunctional uterine bleeding (DUB) patients (Fig. 1)
Upon analyzing parity among DUB patients, a large proportion (84%) of patients was noted to be multiparous of which 66% had 2 children (Fig. 2)
Summary
Abnormal Uterine Bleeding (AUB) is a common complaint that affects large numbers of women from puberty to menopause. It negatively affects the health and quality of life of women affected. The ER and PR IHC expression and distribution pattern may play an important role in endometrial function and pathogenesis 1-4. The study of these receptors -distribution in the endometrial glands could open the gate for medical treatment of cases of AUB and avoid unnecessary surgical intervention. The present study was conducted to analyze endometrial estrogen and progesterone receptor expression and blood vessel density in cases of abnormal uterine bleeding
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