Evaluating the causes of abnormal uterine bleeding in perimenopausal women: A cross sectional study

Abstract

Abnormal uterine bleeding (AUB) is a common complaint among perimenopausal women. This cross sectional study aimed to evaluate the causes of AUB in perimenopausal women and identify the most common underlying factors. It is a major cause of hysterectomy, and thus is a major health problem. Methods: This was a hospital based cross sectional study conducted on perimenopausal women with complaints of abnormal uterine bleeding admitted in Obstetrics and Gynaecology, Vardhman Mahaveer medical College and Safdarjung hospital, New Delhi. Results: Total number of gynaecological examination in the hospital i.e. 603, 16.5% comprised of perimenopausal women with complaints of Abnormal Uterine Bleeding, who were taken up for the study. Obesity was found to be most commonly associated risk factor, followed by hypertension and thyroid disorders. Conclusion: AUB continues to be one of the most commonly encountered complaints in gynaecologic practice. Determining the most likely Etiology of acute AUB is essential for choosing the most appropriate and effective management for the individual patient and is accomplished by obtaining a history, performing a physical examination, and requesting laboratory and imaging tests, when indicated.