Evaluation and histopathological correlation of abnormal uterine bleeding in menopausal transition in a tertiary care centre at Cheluvamba hospital, Mysore

Background: Abnormal uterine bleeding is one of the commonest conditions amongst patients attending gynaecology OPD which also leads to significant disruption in a normal lifestyle. The causes of abnormal uterine bleeding are heterogeneous and complex. A systematic evaluation with detailed history and physical examination is foremost important in reaching diagnosis. Hysteroscopy is not only safe, quick and observes entire uterine cavity but also helps in precision in sampling and increases accuracy of diagnosis. It is also curative in conditions such as polyps, fibroids, uterine synechiae, menorrhagia and lost intrauterine contraceptive device. The aim of the study is to evaluate the role of hysteroscopy as a screening method in patients with AUB & compare to their USG findings and to the histopathological reports of the endometrial biopsy.Methods: This is a prospective observational study conducted at a tertiary healthcare centre over a period of 18 months, in 50 females belonging to pre, peri and post-menopausal age group. Sampling was done based on selection criteria after obtaining valid consent from the study group.Results: Hysteroscopy has a definitive role in evaluation of patients presenting with abnormal uterine bleeding with high sensitivity, specificity, PPV and NPV with immediate results.Conclusions: The above study concludes that the accuracy of diagnosing the cause of abnormal uterine bleeding is more with hysteroscopy followed by D and C then USG combined with D and C.

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ROLE OF MRCP IN DIAGNOSING PANCREATICOBILIARY DISORDERS WITH SURGICAL AND HISTOPATHOLOGICAL CORRELATION- A PROSPECTIVE STUDY IN A TERTIARY CARE CENTRE, GGH, KAKINADA, ANDHRA PRADESH

Journal of Evidence Based Medicine and Healthcare ◽

10.18410/jebmh/2017/459 ◽

2017 ◽

Vol 4 (38) ◽

pp. 2333-2341

Author(s):

Radha Rani Kaki ◽

Bomidi Sudha Rani ◽

Bonthu Anuradha ◽

Karri Sambasiva Rao ◽

Pasam Kusumalatha ◽

...

Keyword(s):

Prospective Study ◽

Andhra Pradesh ◽

Tertiary Care ◽

Care Centre ◽

Tertiary Care Centre ◽

Histopathological Correlation ◽

A Prospective Study

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Prevalence of adenomyosis and associated gynaecological pathologies in hysterectomy samples: a retrospective study

International Journal of Research in Medical Sciences ◽

10.18203/2320-6012.ijrms20213203 ◽

2021 ◽

Author(s):

Lekshminath Gopinath ◽

Rajani Vaidya

Keyword(s):

Tertiary Care ◽

Abnormal Uterine Bleeding ◽

Serous Cystadenoma ◽

Uterine Bleeding ◽

Research Centre ◽

Common Symptom ◽

Age Group ◽

Tertiary Care Centre ◽

College Hospital ◽

Case Record

Background: Adenomyosis is a prevalent gynaecological disorder among women and it is a major cause for AUB. Its diagnosis is confirmed by histological examination of hysterectomized samples. Moreover it is associated with other benign gynaecological pathologies. The aim of this study is to identify the prevalence of Adenomyosis and its association with other benign gynaec pathologies in hysterectomized samples.Methods: This retrospective of two year duration was conducted in obstetrics and Gynaecology department of Malabar Medical College Hospital and Research Centre, a tertiary care centre in Kozhikode, Kerala from 2019 June to 2021 June. 452 patients underwent hysterectomy for abnormal uterine bleeding during this period. Among this, 76 patients had histologically proven adenomyosis in hysterectomy specimen and their case record were reviewed and the data was analysed.Results: The prevalence of Adenomyosis in this study was 16.8%. Majority of women were in age group of 41 to 46 (36.8%), followed by 46 to 50 age group (26.3%). 94 % of women were multipara with majority in para2 and para3 group. Only 6 % of women were nulliparous. Most common symptom was abnormal uterine bleeding (92%), followed by dysmenorrhoea and chronic pelvic pain. Majority had overlap of symptoms. 7% of women were asymptomatic. In 60 % of women no other gynaec pathologies were identified. Most common associated pathology was leiomyoma (15.8%), closely followed by endometriosis (13.2%). Endometrial hyperplasia was associated with adenomyosis in 3.9%of women and endometrial polyp in 2.6%. Ovarian pathologies identified were simple ovarian cyst (2.6%) and serous cystadenoma (1.3%).Conclusions: In the present study, the prevalence of adenomyosis was high and abnormal uterine bleeding was the patients’ most prevalent complaint. Among the associated gynaec pathologies, leiomyoma had the highest correlation with adenomyosis.

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