Abnormal Uterine bleeding- Its Causes and Management in Women with Reproductive Age

  • Khanam A Assistant Registrar, Department of Obstetrics & Gynecology, Cumilla Medical College Hospital, Cumilla, Bangladesh
  • Bushra A Registrar, Department of Obstetrics & Gynecology, BRB Hospital, Dhaka, Bangladesh
  • Hossain SN Indoor Medical Officer, Department of Obstetrics & Gynecology, Dhaka Medical College & Hospital, Dhaka, Bangladesh
  • Akter T MBBS, FCPS. MCPS, DGO (Obs & Gynae), Gynaecologist, CMH, Chittagong, Bangladesh
  • Zahan N Medical Officer, Barkal Upazila Health Complex, Rangamati, Chattogram, Bangladesh
  • Dina US Registrar, Department of Obstetrics & Gynecology, Mymensingh Medical College Hospital, Mymensingh, Bangladesh
  • Minkin T Consultant, Department of Obstetrics & Gynecology, Popular Diagnostic Centre Ltd., Kushtia, Bangladesh
Keywords: Abnormal uterine bleeding, Prevalence, Causes

Abstract

Introduction:Abnormal uterine bleeding (AUB) is a common reason for gynecological consultation in women with reproductive age. It is defined as bleeding from uterine corpus that is abnormal in regularity, volume, frequency or duration and occurs in absence of pregnancy.It makes the patient uncomfortable and hampers social, familial and religious life.

Methods: The present study was done to evaluate the cause and management of abnormal uterine bleeding in women with reproductive age. It was a cross sectional observational study which was carried out among 100 women of reproductive age admitted in the Obstetrics and Gynecology department of Cumilla Medical College Hospital. Study duration was 6 months, from January 2022 to July 2022. Patients were properly explained about the study and informed consent was taken. Analysis of these women is done by recording age parity, menstrual symptoms and treatment options. All specimens were sent for histopathology. Etiology, clinical presentation, histopathological findings and USG reports were correlated.AUB was classified according to PALM-COEIN classification. Data was collected in an organized data collection sheet. Standard statistical analysis was performed with the SPSS software package and the results were presented in the form of table, graphs, and diagrams.

Results: In this study most of the patients revealed common age group 31-40 years(50%) and most of them (64%) were  belong to average economic conditions. 76% patient were multiparous. Heavy menstrual bleeding were common presentation (48%).8% patients were treated medically. Different operations done among them total abdominal hysterectomy done in 60% cases, no descent vaginal hysterectomy done in 12% cases, diagnostic dilatation and curettage done in 10% cases. As per PALM-COEIN classification AUB (L) was common type and most of the patients belong to PALM group (84%)

Conclusions: A systematic approach to diagnosis, investigation and a step wise approach to intervention is necessary. Treatment commencing with medical therapeutic modalities followed by surgical modalities is the ultimate goal of all therapeutic intervention.

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How to Cite
Khanam, A., Bushra, A., HossainS. N. `., Akter, T., Zahan, N., Dina, U. S., & Minkin, T. (2025). Abnormal Uterine bleeding- Its Causes and Management in Women with Reproductive Age. Obs Gyne Review: Journal of Obstetric and Gynecology, 10(1), 66-72. Retrieved from https://obstetrics.medresearch.in/index.php/joog/article/view/174
Issue
Vol 10 No 1 (2024): Jan-Dec
Section
Original Article

Copyright (c) 2025 Author (s). Published by Siddharth Health Research and Social Welfare Society

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