Relationship of Patterns of Abnormal Uterine Bleeding with Underlying Pathology
Background: To establish a co-relation between different underlying uterine etiologies, and type of menstrual irregularities .
Methods: In this cross-sectional study 100 non-gravid women of reproductive age with the complaint of abnormal uterine bleeding were randomly selected . Detailed history of the irregularity of menstrual pattern was taken. Examination and investigations were performed to establish the underlying cause of abnormal uterine bleeding. Correlation was drawn between types of abnormal uterine bleeding and underlying pathology.
Results: Mean age of women was 38.3 years and mean haemoglobin was 8.92gm/dl. Heavy prolonged menstrual bleeding was the commonest (76%) complaint associated with leiomyoma (50 %), followed by endometrial causes (18.4 %) and adenomyosis (13.2%). Frequent menstrual bleeding in 24% was associated with ovarian (33%) and malignant causes (8.3%).
Conclusion: Heavy and prolonged menstrual cycle has a significant relationship with benign organic pathology of uterus and frequent irregular cycles is more likely associated with malignant causes.