scholarly journals Angiofibroma of the Vagina Presenting with Abnormal Vaginal Bleeding: A Case Report from Ethiopia and Review of the Literature

2019 ◽  
Vol 2019 ◽  
pp. 1-4 ◽  
Author(s):  
Chuchu Arega ◽  
Wubshet Girma ◽  
Jose Manuel Sanchez Diaz
Keyword(s):  
Vaginal Bleeding ◽  
Abnormal Uterine Bleeding ◽  
Vaginal Wall ◽  
Anterior Vaginal Wall ◽  
Reproductive Age ◽  
Benign Tumors ◽  
Middle Aged ◽  
History Of ◽  
Abnormal Vaginal Bleeding ◽  
Reproductive Age Group

Background. Angiofibroma is an uncommon type of vascular benign tumor that is made up of blood vessels and fibrous (connective) tissue. First described in 1997, it usually occurs in middle aged females and is clinically often thought to represent a cyst. Unlike most of the other site specific vulvovaginal mesenchymal lesions, cellular angiofibroma has a marked predilection for the vulva with only occasional examples reported in the vagina. Case Detail. A 17-year adolescent nulligravid girl presented with a history of irregular vaginal bleeding of two-year duration and history of lower abdominal swelling; on examination, she had pale conjunctiva, 20-week sized firm, irregular, nontender abdominopelvic mass, and a firm huge anterior vaginal wall mass, with difficulty to reach at the cervix and hemoglobin of 9.7 gm/dL, and a diagnosis of cervical myoma plus anemia was made, which was supported by imaging studies. Finally it was found to be angiofibroma of the vagina. Conclusion. Angiofibromas are benign tumors, which rarely occur in vagina. Although middle aged females are affected more, angiofibromas can affect females of reproductive age group and can cause abnormal uterine bleeding.

scholarly journals Role of Ultrasound in the Evaluation of Abnormal Vaginal Bleeding in Nonpregnant Patients in Reproductive Age

2012 ◽  
Vol 6 (1) ◽  
pp. 112-120
Author(s):  
Bailey Wilson ◽  
Sanja Kupesic Plavsic
Keyword(s):  
Vaginal Bleeding ◽  
Obstet Gynecol ◽  
Color Doppler ◽  
Abnormal Uterine Bleeding ◽  
Color Doppler Ultrasound ◽  
Uterine Bleeding ◽  
Reproductive Age ◽  
Ultrasound Findings ◽  
Abnormal Vaginal Bleeding

ABSTRACT Abnormal uterine bleeding is defined as any alteration in the volume, pattern or duration of menstrual blood flow. Abnormal uterine bleeding can be due to a number of organic and dysfunctional causes. This article presents different case scenarios of nonpregnant reproductive age patients presenting with abnormal genital tract bleeding. These cases will allow the reader to identify differential diagnoses related to each scenario and to understand ultrasound findings typical for nonpregnant patients presenting with abnormal vaginal bleeding. The role of B-mode and color Doppler ultrasound in the evaluation of abnormal uterine bleeding is described. Standard treatment methods are also listed for each case. How to cite this article Wilson B, Plavsic SK. Role of Ultrasound in the Evaluation of Abnormal Vaginal Bleeding in Nonpregnant Patients in Reproductive Age. Donald School J Ultrasound Obstet Gynecol 2012;6(1):112-120.

scholarly journals Vaginal Leiomyoma: A Case Report

2021 ◽  
Vol 59 (237) ◽  
Author(s):  
Miki Shah ◽  
Rachana Saha ◽  
Niranjan KC
Keyword(s):  
Histopathological Examination ◽  
Uterine Fibroids ◽  
Management Plan ◽  
Vaginal Wall ◽  
Anterior Vaginal Wall ◽  
Reproductive Age ◽  
Benign Tumors ◽  
First Case ◽  
The Right ◽  
Vaginal Leiomyoma

Leiomyomas are common benign tumors of the uterus, affecting 20-30% of women of reproductive age group. But vaginal leiomyomas remain an uncommon entity with only about 300 reported cases. The first case was described in 1733. Only a few cases have been reported in Nepal to date. Tumors are thought to arise from Mullerian smooth muscle cells in the sub-epithelium of the vagina. Vaginal leiomyomas are usually situated in the anterior vaginal wall. Here, we report a case of a 48-year old multipara who presented the outpatient department with the ultrasonographic report showing multiple uterine fibroids but was asymptomatic. A physical examination showed a mass in the right vaginal wall. Pervaginal removal of the tumor was performed and subsequent histopathology revealed a vaginal leiomyoma. Removal of the tumor by the vaginal route, wherever possible, with the subsequent histopathological examination, appears to be the optimum management plan.

scholarly journals Frequency of Cervical Cancer in Women Attending Gynae OPD with Complaint of Abnormal Vaginal Bleeding

2021 ◽  
Vol 15 (10) ◽  
pp. 2641-2642
Author(s):  
Mahwish Shah ◽  
Aruna Kumari Hira ◽  
Urooj Naz ◽  
Sheena . ◽  
Sana Shahmir ◽  
...  
Keyword(s):  
Cervical Cancer ◽  
Vaginal Bleeding ◽  
Cross Sectional Study ◽  
Reproductive Age ◽  
P Value ◽  
Chi Square ◽  
Cross Sectional ◽  
Presenting Symptoms ◽  
History Of ◽  
Abnormal Vaginal Bleeding

Aim: Frequency of cervical cancer in women of reproductive age presenting with abnormal vaginal bleeding. Methodology: Descriptive cross sectional study, done at Department of Obs &Gynae, JPMC, Karachi Duration of study: Six months from 01-11-2014 to 30-04-2015 Total 73 patients of age 18-45 years, having history of abnormal vaginal bleeding > 3 menstrual cycles were selected. Pregnant woman, abortion within last 6 months, age >45 years, fibroid/ tumors/ polyps, PID, gonorrhea, or Chlamydia patients were excluded. Chi-square was used as test of significance with a P value <0.05 taken as significant. Results: Mean ± SD age was 38.12 ± 4.33 years. Mean ± SD parity was 2.21 ± 1.67 children (Range: 0-5). Mean ± SD duration of presenting symptoms was 7.45 ± 2.81 months (Range 3-11). About one fifth of patients (i.e. 19.2%) were of age between 18-25 years. a vast majority (i-e; 43.8%) were in 26-35 years age category while remaining (36.99%) patients were of age between 36-45 years. 12.3% women had no children, 35.6% had 1-2 children, 28.8% had 3-4 children while remaining 23.3% women had 5 children. 12 out of 73 (16.4%) women had cervical cancer confirmed through biopsy and histopathology of cervical tissue. Age was significant (P value = 0.003) while parity & duration of presenting symptoms were non-significant (P values = 0.110 & 0.405 respectively). Conclusion: The study found that almost every 6th women with abnormal vaginal bleeding is suffering from cervical cancer. Younger age women and those having lesser parity are less prone to this condition. Keywords: Abnormal vaginal bleeding, Cervical cancer, Postcoital bleeding

scholarly journals Prevalence of Hypertension in a selected Rural Area of Mymensingh

2016 ◽  
Vol 5 (2) ◽  
pp. 14-20
Author(s):  
AHM Hasan ◽  
Fakir Sameul Alam ◽  
Md Tufael Hossain ◽  
Maksuda Begum ◽  
Sultana Sobnam Dipu ◽  
...  
Keyword(s):  
Salt Intake ◽  
Sedentary Lifestyle ◽  
Oral Contraceptive Pill ◽  
Reproductive Age ◽  
Cross Sectional ◽  
History Of ◽  
Family History Of Hypertension ◽  
Low Prevalence ◽  
Reproductive Age Group ◽  
Added Salt

This cross-sectional descriptive study was carried out from January 2015 to March 2016 in villages of 12 Bhavokhali union, Sadar upazila, Mymensingh. The study was done on 408 subjects who were selected purposively. Data were collected on a pre-designed questionnaire by direct interviewing the respondents. Data analysis was done using SPSS version 16. Prevalence of hypertension was 21.32%. Mean age was 39.22 years and standard deviation 14.81 years. Prevalence of hypertension was 46.30% among persons over 60 years of age, 37.11% among persons having family history of hypertension, 61.54% among persons having diabetes mellitus, 43.96% among persons having BMI more than or equal to 25, 29.41% among those having sedentary lifestyle, 22.14% among those having the habit of added salt intake, 33.75% among smokers and 25.95% among persons having the habit of smokeless tobacco intake. Though female had low prevalence of hypertension (18.77%), female working outside had higher prevalence 31.59%. Women of reproductive age group had lower prevalence of hypertension (15.56%) among whom oral contraceptive pill users had increased prevalence of hypertension 16.82%. Prevalence of hypertension found in this study was lower in comparison to global prevalence and results of other studies. CBMJ 2016 July: Vol. 05 No. 02 P: 14-20

scholarly journals KAP study of contraception in clients undergoing MTP and sterilization in Gujarat, India

2017 ◽  
Vol 6 (6) ◽  
pp. 2503
Author(s):  
Rakesh Patel ◽  
Runoo Ghosh
Keyword(s):  
Family Planning ◽  
Side Effect ◽  
Contraceptive Use ◽  
Unwanted Pregnancy ◽  
Reproductive Age ◽  
Medical College ◽  
Medical Termination ◽  
Planning Methods ◽  
History Of ◽  
Reproductive Age Group

Background: Lack of awareness, knowledge and education, religious beliefs and fear of side effects are the main causes why women do not use family planning methods. To study the knowledge, attitude and practice of contraception among clients undergoing to Medical termination of pregnancy (MTP) and sterilization.Methods: This prospective study was done among 400 indoor cases at Department of Obstetrics and Gynecology in B.J. Medical college, Ahmedabad during July 2002 to October 2003. All the clients undergoing MTP and sterilization were explained and counseled about contraception with GATHER approach of family planning. After taking detail history, a thorough clinical examination of the clients was carried out with preliminary investigations.Results: Almost 58% clients were willing to accept TL method as contraceptive option, 39.5% IUCD, 1.75% OC pill method of contraception. Regarding history of side effect of contraceptive use, 17.3% condom users, 68.5% OC pill users, 63% CuT users have felt side effect. Almost 42.5% clients were operated by MTP + Lap TL, 39.5% by MTP + CuT and 14.5% by plain Lap TL.Conclusions: Efforts should be made to promote information, education and communication regarding emergency contraception targeted to all women of reproductive age group. It is important that unwanted pregnancy be prevented through effective contraceptive practice rather than abortion.

EVALUATE THE RELATION BETWEEN THYROID DISORDERS AND ABNORMAL UTERINE BLEEDING IN REPRODUCTIVE AGE GROUP : A CROSS SECTIONAL STUDY AT ANMMCH, GAYA, BIHAR

2021 ◽  
pp. 15-16
Author(s):  
Kumari Ragini ◽  
Kumar Sourav ◽  
Lata Shukla Diwedi ◽  
Debarshi Jana
Keyword(s):  
Subclinical Hypothyroidism ◽  
Thyroid Dysfunction ◽  
Abnormal Uterine Bleeding ◽  
Uterine Bleeding ◽  
Reproductive Age ◽  
Structural Defects ◽  
Thyroid Disorders ◽  
Thyroid Function Tests ◽  
Age Group ◽  
Reproductive Age Group

Introduction: Abnormal uterine bleeding (AUB) is a common disorder occurring in reproductive age group females. It can be understood as bleeding that occurs from the uterus outside the normal parameters and there is no structural defects in the genital tract. One of the most common association with AUB is thyroid dysfunctions. Hence this study aimed to see the incidence of thyroid related disorders in AUB and also to assess the menstrual pattern. Material and Methods: 100 women suffering from AUB who presented to OPD of Obstetrics and Gynecology department of Anugrah Narayan Magadh Medical College and Hospital, Gaya, Bihar were recruited in the study. All females in 19 to 45 years of age group with abnormal uterine bleeding were included excluding those with previously known thyroid disorder, abortion history within 3 months etc. Thyroid function tests were done in all along with ultrasonography of pelvis region. Statistical analysis done. Results: The bleeding abnormality that was found in the most of the women was heavy menstrual bleeding. Women who presented with thyroid dysfunction were 33%. 23% had subclinical hypothyroidism, 6% had hypothyroidism and 4% had hyperthyroidism. Conclusion: Abnormal Uterine Bleeding has strong association with thyroid disorders. Most common type of disorder is subclinical hypothyroidism. Thus all patient of AUB must be evaluated for thyroid dysfunction

HISTOMORPHOLOGICAL VARIANTS AND SECONDARY CHANGES IN UTERINE LEIOMYOMA

2021 ◽  
pp. 37-39
Author(s):  
Teleflo Boopathy ◽  
Gowri Prakasam ◽  
T.M Vincy ◽  
Dharshini. G.V
Keyword(s):  
Uterine Leiomyoma ◽  
Treatment Protocol ◽  
Abnormal Uterine Bleeding ◽  
Reproductive Age ◽  
Medical College ◽  
Common Causes ◽  
Common Clinical Presentation ◽  
Morphological Variants ◽  
Reproductive Age Group ◽  
Optimal Patient Management

BACKGROUND: Leiomyoma is one of the most common causes of Abnormal Uterine Bleeding. It occurs chiey in women during active reproductive years. It has a lot of morphological variants and secondary changes which may mimic malignancy clinically, radiologically and histologically. A few degenerative changes and variants like Atypical and Mitotically active Leiomyoma may be misdiagnosed as malignancy. It is imperative to have a good knowledge of Leiomyosarcoma as the treatment protocol varies. AIMS AND OBJECTIVES: To analyse the morphological variants and secondary changes in Leiomyoma and to study the associated changes in the endometrium. MATERIALS AND METHODS: 420 Hysterectomy specimens with Fibroid received at Govt. Kilpauk medical College, Chennai were studied from January 2018 to January 2020. RESULTS: Leiomyoma was seen in the reproductive age group and menorrhagia was the most common clinical presentation. Hyalinisation was the most common secondary change seen in Leiomyoma and cellular leiomyoma was the most common morphological variant. CONCLUSION:A good comprehensive and accurate knowledge of the morphological variants and secondary changes in Leiomyoma mandatory to avoid misdiagnosis and ensuring optimal patient management.

scholarly journals Clinicopathological study of leiomyomas in hysterectomy specimens

2018 ◽  
Vol 7 (4) ◽  
pp. 1509 ◽  
Author(s):  
Manpreet Kaur ◽  
Rajiv Kamal Gupta ◽  
Simrat Jit Kaur ◽  
Panchampreet Kaur
Keyword(s):  
Histopathological Examination ◽  
Reproductive Age ◽  
Benign Tumors ◽  
Histopathological Study ◽  
Histopathological Diagnosis ◽  
Age Group ◽  
Diagnosis And Prognosis ◽  
Common Complaint ◽  
A Prospective Study ◽  
Reproductive Age Group

Background: Leiomyomas are benign tumors of smooth muscle cells commonly encountered in women of reproductive age group. Aim of this study was to conduct a histopathological study of leiomyomas in hysterectomy specimens and to correlate them with clinical findings.Methods: A prospective study was done on 130 hysterectomy specimens clinically diagnosed as leiomyoma. The specimens were subjected to histopathological examination.Results: In this study, the most common age group was 31-50 years (87.69%). Most common complaint was menorrhagia (51.54%). In endometrium, the most common histopathological diagnosis was proliferative phase (46.15%) followed by endometrial hyperplasia (19.23%). The most common secondary change was hyalinization and the most common site was intramural (62.9%).Conclusions: Hysterectomy is a commonly performed procedure in the management of uterine leiomyomas. The ultimate diagnosis and prognosis depends on the histopathological examination; therefore, every operated specimen must be subjected to histopathology. 

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