Clinicopathological evaluation of abnormal uterine bleeding in perimenopausal female

Abstract

Introduction: Abnormal uterine bleeding is a common complaint faced by patients consulting gynaecologists in all age groups, especially in perimenopausal women. Variations in the menstrual cycle in the perimenopausal period may be due to physiological hormonal changes or pathological etiology.Aim & Objective: Clinicopathological evaluation of abnormal uterine bleeding in females of the perimenopausal age group. Materials & Methods: An observational study was conducted in Department of Pathology at Saraswathi Institute of Medical Sciences, Hapur including 100 cases with clinical complaints of abnormal uterine bleeding. Perimenopausal women in the age group of 45 - 55 years were included in this study. The endometrial tissue was collected by sampling procedures such as dilatation and curettage. Result: According to PALM-COIEN classification, Leiomyoma (AUB-L) was the most prevalent cause of AUB in the study. Next common cause of abnormal uterine bleeding was adenomyosis (AUB-A) among the age of 40-50 years.