A study on associated conditions among perimenopausal women presenting with abnormal uterine bleeding

Abstract

In normal cycles, endometrial proliferation occurs under estrogenic stimulation after menstrual shedding of endometrium. During this phase, the endometrial glands grow and become tortuous. The secretory phase in the second half of the menstrual cycle is characterized by endothelial proliferation, thickening of the wall and coiling, forming the spiral arterioles on the ninth postovulatory day. Written informed consent taken from all patients enrolled in the study. They were evaluated by history, clinical examination and relevant investigations. Transvaginal ultrasound and endometrial biopsy done for all subjects. The endometrial biopsy specimen report obtained and compared and correlated with endometrial thickness by TVS. Anaemia was the most common condition associated with perimenopausal women with bleeding in this study group (35 patients) (23%).