ENDOMETRIAL STUDY OF ABNORMAL UTERINE BLEEDING IN WOMEN AT 45 YEARS AND ABOVE

• Main Author: Ganesh Dangal
• Format: Article
• Language: English
• Published: Nepal Medical Association 2003-03-01
• Series: Journal of Nepal Medical Association
• Online Access: http://jnma.com.np/jnma/index.php/jnma/article/view/798

ABSTRACT The study is done to know the causes for the abnormal uterine bleeding in perimenopausal women at Chitwan valley and to compare the histopathological findings between the pre-menopausal and postmenopausal women. Retrospective analysis of patients who have had abnormal bleeding during a period of one and a half years' from January 2000 to June 2001 in Department of Gynaecological Oncology of BP Koirala Memorial Cancer Hospital (BPKMCH), Chitwan, Nepal. There were total sixty women (aged 45 years and above) having abnormal bleeding managed at BPKMCH. A total of sixty patients were studied. Majority (57%) of them was postmenopausal ladies presented with abnormal vaginal bleeding. The age range was 45 to 81 years. Only 37% had pathological bleeding including malignancies and only about 17% had malignancies. Malignant diseases were found in 7.7% cases in the pre-menopausal ladies whereas it was 23.4%, almost three times higher, in the post-menopausal ladies. Carcinoma of the cervix and of the endometrium occurred with increasing frequency with increasing age in this study. So, a thorough work-up is needed for the elderly women presenting with an abnormal vaginal bleeding especially to rule out malignancies. Key Words: endometrial biopsy, endometrial cancer, postmenopausal bleeding.