ABNORMAL UTERINE BLEEDING

HISTOPATHOLOGICAL DIAGNOSIS BY CONVENTIONAL DILATATION AND CURETTAGE

Abstract

Background: Abnormal uterine bleeding is one of the most frequent conditions in gynecology. Hysteroscope & plastic devices for outdoor endometrial biopsy are gaining popularity but in our setup traditional dilatation and curettage play significant role in diagnosis of abnormal uterine bleeding. Objective: To detect different histopathological findings in abnormal uterine bleeding by conventional dilatation and curettage. Design: Descriptive Period: From December 2002 to March 2005.Setting: Department of obstetric & gynecology Unit-I Allied Hospital, Faisalabad, under the guidance of Professor Mahnaz Roohi. Results: 161 patients with abnormal uterine bleeding divided into adolescent, reproductive and peri-menopausal age groups. Maximum 59.02% patients with abnormal uterine bleeding were perimenopausal. Menorrhagia 49.06% was commonest bleeding pattern. Histopathological reports revealed 62.11% dysfunctional uterine bleeding, 21.73% organic lesions and 16.16% pregnancy complications. Complications occurred only in 0.62%.Conclusion: Dilatation and curettage is a safe & successful procedure for detecting intrauterine pathologies in abnormal uterine bleeding.