Clinical profile of patients with menorrhagia and its correlation with endometrial histopathology and sonographic features

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dc.contributor.authorBhardwaj, Bikramen_US
dc.contributor.authorRath, S. K.en_US
dc.date.accessioned2020-10-16T07:56:27Z
dc.date.available2020-10-16T07:56:27Z
dc.date.issued2019-06
dc.description.abstractBackground: Menorrhagia is one of the most common gynecologic complaints in contemporary gynecology. It is defined as total blood loss exceeding 80 ml per cycle or menses lasting longer than 7 days. Current gynecological survey reports that 30% of all pre-menopausal women perceive their menses to be excessive. So, the main aim of this study was to correlate clinical profile of patients with menorrhagia, etiological factors of menorrhagia, endometrial patterns in cases of menorrhagia, sonography findings in these patients.Methods: This is a prospective study of 100 patients with complaints of menorrhagia that were randomly selected from out-patient department of a tertiary care hospital. In all cases of menorrhagia, detailed history followed by examination and a particular set of investigations including USG was done. All women were subjected to D and C and histo-pathological report taken into account. However all cases of Puberty menorrhagia were excluded from this study as D and C could not be done in them. Treatment was given depending upon cause/age/parity/ family/completion/patient’s desire.Results: AUB is the most common cause of menorrhagia in this study group (60%) with leiomyomas as the second commonest cause (24%). Other causes found were adenomyosis (8%), polyp (4%), IUCD (4%). Maximum cases of menorrhagia are in 40-50 years age group.Conclusions: To conclude AUB (60%) was the commonest cause of menorrhagia followed by leiomyomas (24%), adenomyosis (8%), IUCD (4%) and polyps (4%). Menorrhagia was most common in multiparous (78%) and peri-menopausal age group (40-49 years). Proliferative endometrium was most commonly observed histo-pathological pattern in 58% cases. Leiomyoma was the commonest sonological finding seen in 24% cases followed by adenomyosis in 8% cases.en_US
dc.identifier.affiliationsDepartment of Obstetrics and Gynecology, Command Hospital, Chandimandir, Haryana, Indiaen_US
dc.identifier.affiliationsDepartment of Obstetrics and Gynecology, Kalinga Institute of Medical Sciences, Bhuvaneshwar, Orissa, Indiaen_US
dc.identifier.citationBhardwaj Bikram, Rath S. K.. Clinical profile of patients with menorrhagia and its correlation with endometrial histopathology and sonographic features. International Journal of Reproduction, Contraception, Obstetrics and Gynecology. 2019 Jun; 8(6): 2326-2332en_US
dc.identifier.issn2320-1770
dc.identifier.issn2320-1789
dc.identifier.placeIndiaen_US
dc.identifier.urihttps://imsear.searo.who.int/handle/123456789/206777
dc.languageenen_US
dc.publisherMedip Academyen_US
dc.relation.issuenumber6en_US
dc.relation.volume8en_US
dc.source.urihttps://dx.doi.org/10.18203/2320-1770.ijrcog20192425en_US
dc.subjectEndometriumen_US
dc.subjectMenstruationen_US
dc.subjectMenorrhagiaen_US
dc.subjectSonographyen_US
dc.titleClinical profile of patients with menorrhagia and its correlation with endometrial histopathology and sonographic featuresen_US
dc.typeJournal Articleen_US
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