Histopathological Findings in Patients with Abnormal Uterine Bleeding

Abstract

Background: Uterine bleeding, which affects a woman between menstrual periods, indicates several hormonal phenomena, which are uterine bleeding outside regular menstrual periods, usually associated with menstruation without ovulation, which is usually the cause of uterine bleeding. The purpose of this study was to describe the prevalence of the AUB among Mosul women. Methodology: Study design: A prospective study was applied in the Mosul city, Iraq. All cases of abnormal vaginal bleeding procured between October, 2018 and October, 2019, at Al-khanssa teaching hospital, in Mosul city, Iraq. A total of 152 cases were included in the study. For each case, representative slides were reviewed and the pattern of uterine histopathological changes identified and classified according to age groups. Results: Total of (233) women abnormal uterine bleeding was studied from October 2018 to October 2019. Women’ age ranged from 15-55 years. Structural cause of chronic abnormal uterine bleeding consisted of 35.42% of cases, whereas nonstructural cause of chronic abnormal uterine bleeding consisted of 64.58% of cases. Ovulatory dysfunction was the most common finding among women with chronic AUB, accounting for (57.7%) cases. Polyp was found in (16.2%) women, Leiomyoma in (12%) patients, Adenomyosis in (4.94%) patients, Endometrial in (2%) patients, malignancy and hyperplasia in (1.9%) women, and Coagulopathy in (1%) women. The highest rate of Ovulatory dysfunction was belonged to age 25-29 years (19.9%).P prevalence was recorded at the highest rate among women belonged to age (40-44).The prevalence of A & L increased by the age. The prevalence rate was 42.3% among women aged (40-44)(45-49) years respectively. The majority occurrence of AUB found in women belonged to age group()years and those who were multiparous. Conclusion: The study concluded that our college students still need intensive training in critical thinking and problem solving techniques, and that the teachers of training and teaching should follow advanced method of teaching their students.