Abnormal Vaginal Bleeding Following Pharmacist Prescribing of Metformin Leads to the Detection of Complex Endometrial Hyperplasia

2013 ◽  
Vol 47 (11) ◽  
pp. 1581-1583 ◽  
Author(s):  
Rita L. Lyster ◽  
Sherilyn K. D. Houle
Keyword(s):  
Vaginal Bleeding ◽  
Endometrial Hyperplasia ◽  
Pharmacist Prescribing ◽  
Abnormal Vaginal Bleeding

scholarly journals Determine the Frequency of Endometrial Hyperplasia in Female with Abnormal Vaginal Bleeding

2021 ◽  
Vol 15 (7) ◽  
pp. 1779-1781
Author(s):  
Ayesha Naeem ◽  
Amna Aslam ◽  
Amber-u- Nissa ◽  
Tayyaba Rasheed ◽  
Tanweer Akhtar ◽  
...  
Keyword(s):  
Vaginal Bleeding ◽  
Endometrial Hyperplasia ◽  
Economic Status ◽  
Transvaginal Ultrasound ◽  
Adenomatous Hyperplasia ◽  
Cross Sectional ◽  
Socio Economic Status ◽  
Ultrasound Frequency ◽  
Abnormal Bleeding ◽  
Abnormal Vaginal Bleeding

Objective: To determine the frequency of endometrial hyperplasia in female with abnormal vaginal bleeding. Study Design: Cross-sectional Place and Duration of Study: Department of Obstetrics & Gynaecology, Allama Iqbal Memorial Teaching Hospital, Sialkot from 1st January 2021 to 31st March 2021. Methodology: One hundred and ten females with abnormal bleeding were presented in this study. Patients were aged between 40-65 years. Demographically details of age, weight, body mass index and socio economic status were recorded after taking written consent. Complete patients were undergone for transvaginal ultrasound. Frequency of endometrial hyperplasia was recorded. Results: Mean age of the females was 47.16±7.53 years with mean BMI 26.17±8.44 kg/m2. Mean weight of the patients were 59.16±17.66 kg. Most of the patients 65 (59.09%) were from urban area and majority of the patients 70 (63.64%) were illiterate. Sixty (54.5%) cases were from low socio-economic status and 50 (45.5%) had high socio-economic status. Endometrial hyperplasia was found in 25 (22.73%) patients, in which 18 (72%) had cystic hyperplasia, adenomatous hyperplasia found in 4 (16%) and 3 (12%) had atypical hyperplasia. Among 25 cases of hyperplasia, menorrhagia found in 15 (60%), polymenorrhea found in 8 (32%) and polymenorrhagia in 2 (8%). Medical treatment were given to 20 (80%) cases and surgical treatment were given to 5 (20%). Conclusion: The prevalence of endometrial hyperplasia was 22.73% among women with abnormal bleeding. It can be cure by early diagnosis and treatment. Keywords: Transvaginal ultrasound (TVS), Endometrial hyperplasia, Abnormal vaginal bleeding, Menorrhagia

scholarly journals Endometrial biopsy is an important diagnostic tool for the evaluation of abnormal uterine bleeding

2021 ◽  
Vol 4 (1) ◽  
pp. 19-22
Author(s):  
Jaafar Makki ◽  
Ali hussein Al Khafaj
Keyword(s):  
Vaginal Bleeding ◽  
Endometrial Hyperplasia ◽  
Hydatidiform Mole ◽  
Endometrial Biopsy ◽  
Endometrial Polyp ◽  
Uterine Perforation ◽  
Organic Disease ◽  
Normal Endometrium ◽  
Chronic Endometritis ◽  
Abnormal Vaginal Bleeding

In this study 100 biopsies were taken from the endometrium of childbearing women (18-50 yrs. of age) suffering from abnormal vaginal bleeding from Jan 2019-Dec 2019. Endometrial Biopsy (EB) is safe, an outpatient procedure, low cost, carries out without general anesthesia & the incidence of hemorrhage, infection & uterine perforation are less common than with D&C. EB is an alternative to dilatation & curette (D&C) for the evaluation of infertile & abnormal vaginal bleeding or dysmenorrheic patients. There are two main groups of causes to irregular vaginal bleeding. 1. Organic disease (74% of the cases), in this group there are obvious lesion such as, endometrial polyp, endometrial hyperplasia & chronic endometritis. The most common cause was endometrial hyperplasia 48%, it is commonly seen during the perimenopausal period (40-50yr). Less common causes include chronic endometritis 8%, hydatidiform mole 7%, and endometrial polyp 7%. 2. non-organic disease comprises 19% of all cases, anovulatory period 13% or Luteal phase insufficiency 6%. They are commonly seen from age of 18-40yrs. 6% of the cases found to have normal endometrium. 5 endometrial biopsies were inadequate & unsatisfactory for histopathological interpretation. The aim of this study is to evaluate the usefulness & disadvantages of EB & to compare it with the traditional method of endometrial curette.

scholarly journals Angiographic features and transarterial embolization of retained placenta with abnormal vaginal bleeding

2021 ◽  
Vol 4 (1) ◽  
Author(s):  
Ryo Takaji ◽  
Hiro Kiyosue ◽  
Miyuki Maruno ◽  
Norio Hongo ◽  
Ryuichi Shimada ◽  
...  
Keyword(s):  
Vaginal Bleeding ◽  
Transarterial Embolization ◽  
Recurrent Bleeding ◽  
Study Cohort ◽  
Technical Success ◽  
Retained Placenta ◽  
Vascular Channel ◽  
Abnormal Bleeding ◽  
Abnormal Vaginal Bleeding

Abstract Objectives To clarify characteristic angiographic features and clinical efficacy of selective transarterial embolization (TAE) of retained placenta with abnormal vaginal bleeding. Methods The study cohort comprised 22 patients (mean age, 33.5 years; range, 22–24 years) who underwent selective TAE for retained placenta with abnormal bleeding between January 2018 and December 2020 at our institution. Angiographic images were reviewed by two certified radiologists with consensus. Medical records were reviewed to evaluate the efficacy of TAE. Angiographic features of retained placenta, technical success (disappearance of abnormal findings on angiography), complications, clinical outcomes (hemostatic effects and recurrent bleeding) were evaluated. Results Pelvic angiography showed a dilated vascular channel mimicking arteriovenous fistulas or an aneurysm contiguous with dilated uterine arteries in the mid-arterial–capillary phase in 20 patients; it showed contrast brush in the remaining two patients. TAE technical success was achieved in all patients. No major complications were observed in any patients. Fifteen patients were followed up with expectant management after TAE; all but one patient showed no re-bleeding during the follow-up period (mean follow-up interval, 3.4 months; range, 1–17 months). One patient showed minor rebleeding, which resolved spontaneously. Seven patients underwent scheduled hysteroscopic resection within 1 week after TAE, and no excessive bleeding was observed during or after the surgical procedure in all seven patients. Conclusions The characteristic angiographic feature of retained placenta is “dilated vascular channel that mimic low flow AVM.” TAE is a safe and effective treatment to manage retained placenta with abnormal bleeding.

scholarly journals Five Years’ Experience on Hysteroscopy in Abnormal Vaginal Bleeding

2013 ◽  
Vol 2 (1) ◽  
Author(s):  
Mansoureh Vahdat ◽  
Elaheh Sariri ◽  
Maryam Kashanian ◽  
Zahra Najmi ◽  
Mahjabin Marashi ◽  
...  
Keyword(s):  
Vaginal Bleeding ◽  
Abnormal Vaginal Bleeding

Endometrial Metastases from Gastric Adenocarcinoma: A Case Report

1995 ◽  
Vol 81 (5) ◽  
pp. 383-386 ◽  
Author(s):  
Andrea Pasini ◽  
Piergiorgio Mandelli ◽  
Carlo Belloni
Keyword(s):  
Case Report ◽  
Gastric Adenocarcinoma ◽  
Vaginal Bleeding ◽  
Gastric Tumor ◽  
Uterine Corpus ◽  
Biopsy Specimens ◽  
Abnormal Vaginal Bleeding

Embolic metastases to the endometrium are unusual, especially from extragenital cancers. Metastases in the uterine corpus are generally detected at autospy. We describe a patient with abnormal vaginal bleeding in whom endometrial metastases from an inoperable gastric tumor were discovered in hysteroscopic biopsy specimens.

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