Abnormal Uterine Bleeding in Pre-Menopausal Women

2013 ◽  
Vol 35 (5) ◽  
pp. S1-S3 ◽  
Author(s):  
Sukhbir Singh ◽  
Carolyn Best ◽  
Sheila Dunn ◽  
Nicholas Leyland ◽  
Wendy Lynn Wolfman ◽  
...  
Author(s):  
Kushla Pathania ◽  
Surbhi Sharma

Background: Abnormal uterine bleeding is a very common gynaecological condition that affects all age groups. This study was aimed at assessing the usefulness of TVS in comparison with hysteroscopy in AUB evaluation. Aim was to evaluate the diagnostic accuracy of transvaginal sonography versus hysteroscopy in detection of submucous myomas in peri and postmenopausal women with abnormal uterine bleeding.Methods: The present study was prospective cross sectional study conducted in the Department of Obstetrics and Gynaecology, Kamla Nehru State Hospital for Mother and Child Indira Gandhi Medical College Shimla for period of one year w.e.f. 1st May 2018 to 30th April 2019. The study was started after hospital ethical committee approval. 76 patients peri and post-menopausal women were enrolled in the study after taking written consent.Results: On TVS- all the study subjects underwent TVS examination, submucous fibroid was detected in 10 subjects (n= 76) i.e. 13.1% (all perimenopausal). On hysteroscopy submucous fibroid was detected in 11 (14.4%) subjects, on histopathology it was confirmed in 11 subjects (14.4%). Out of 11, 8 patients underwent hysterectomy, 1 myomectomy, 2 patients had hysteroscopic removal of fibroid. 1 subject with AUB-LSM was wrongly diagnosed as AUB-P. Sensitivity, specificity, positive and negative predictive values of transvaginal sonography versus hysteroscopy was 90.09%, 100%, 100%, 98.5% respectively.Conclusions: TVS is an important initial modality for evaluating the patient of AUB. It is quick, simple, painless, least invasive, less expensive and readily available procedure and does not need full bladder like TAS. On the other hand, hysteroscopy has a better diagnostic accuracy as it provides the option of see and treat which is recommended for peri and post-menopausal women with AUB.


2013 ◽  
Vol 35 (5) ◽  
pp. 473-475 ◽  
Author(s):  
Sukhbir Singh ◽  
Carolyn Best ◽  
Sheila Dunn ◽  
Nicholas Leyland ◽  
Wendy Lynn Wolfman ◽  
...  

Author(s):  
JL Muñoz ◽  
JS Jimenez ◽  
C Perez ◽  
M Ramirez ◽  
G Vaquero ◽  
...  

2018 ◽  
Vol 40 (5) ◽  
pp. e391-e415 ◽  
Author(s):  
Sukhbir Singh ◽  
Carolyn Best ◽  
Sheila Dunn ◽  
Nicholas Leyland ◽  
Wendy Lynn Wolfman

2008 ◽  
Vol 36 (6) ◽  
pp. 1205-1213 ◽  
Author(s):  
B Yildizhan ◽  
R Yildizhan ◽  
B Ozkesici ◽  
N Suer

This prospective study investigated 79 pre- and 25 post-menopausal women with abnormal uterine bleeding who underwent conventional transvaginal ultrasonography (TVS) and saline infusion sonohysterography (SIS) and compared the results with histopathological findings obtained by dilatation and curettage, hysteroscopy or hysterectomy. Histological examination revealed normal endometrial histology in 28 patients, intracavitary polyps in 46 patients, submucosal fibroids in 18 patients, intramural fibroids in six patients and endometrial hyperplasia in six patients. The sensitivity and specificity of TVS in detecting endometrial polyps were 65.2% and 87.9%, respectively, compared with 91.3% and 93.1% for SIS. The sensitivity and specificity of TVS in detecting uterine fibroids were 95.8% and 95.0%, respectively, versus 91.6% and 98.7% for SIS. These results show that SIS is a satisfactory method of identifying lesions and that it is easy and cost-effective, and improves on the diagnostic utility of TVS. SIS is also a less invasive alternative to hysteroscopy, so should result in less morbidity in the evaluation of abnormal uterine bleeding in women.


2009 ◽  
Vol 5 (3) ◽  
pp. 313-324 ◽  
Author(s):  
Martha Hickey ◽  
Krish Karthigasu ◽  
Sweta Agarwal

Abnormal uterine bleeding imposes major medical, social and financial problems for women, their families and the health services. Abnormal uterine bleeding refers to the regularity, frequency, duration and volume of bleeding. Irregular menstrual bleeding is most common at the extremes of reproductive life, in the initial 12–18 months after menarche and 5–6 years before the menopause begins. In Australia, the estimated cost of investigating and managing heavy menstrual bleeding alone is approximately AUS $6 million per annum. This article addresses the common causes of irregular bleeding in pre- and peri-menopausal women and presents an investigational approach.


2019 ◽  
Vol 10 (1) ◽  
pp. 1-6
Author(s):  
Golamreza Salsali ◽  
Nafise Zafarghandi ◽  
Fatemeh Nojavan ◽  
Atieh Sadat Danesh

Abnormal uterine bleeding is one of the most common problems in pre-menopausal women. Traditional Iranian Medicine has given numerous reasons for this problem. Some of these problems are focused upon the rheological changes that show up in the blood. Food recommendations are one of the first therapeutic measures in Traditional Iranian Medicine and determination of the type of patient's diet is an integral part of the therapeutic protocols of this medicine. This article intends to review the books of Traditional Iranian Medicine in addition to the nutritional recommendations of this science in abnormal uterine bleeding and explain their effect on changes in blood rheology. For this purpose, the texts of Iranian Medicine related to different ages were searched and dietary recommendations in abnormal uterine bleeding were extracted. From this point of view, some changes in the quality or quantity of blood, according to the science of fluid mechanics, increases fluidity of blood. The recommended diets in Traditional Iranian Medicine to correct these changes will help control and cure this problem.  


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