scholarly journals Profil perdarahan uterus abnormal di RSUP Prof. Dr. R. D. Kandou Manado periode 1 Januari 2013 – 31 Desember 2014

e-CliniC ◽  
2016 ◽  
Vol 4 (1) ◽  
Author(s):  
Muhammad Rifki ◽  
Maria Loho ◽  
Frank M.M Wagey
Keyword(s):  
Care Center ◽  
Abnormal Uterine Bleeding ◽  
Reproductive Period ◽  
Uterine Bleeding ◽  
Reproductive Age ◽  
Normal Body Mass Index ◽  
Health Care Center ◽  
Using Data ◽  
Abnormal Vaginal Bleeding

Abstract: Abnormal Uterine Bleeding (AUB) is the most common cause of abnormal vaginal bleeding among women in reproductive age. Approximately 30% of women come to health care center with complaints of AUB during their reproductive period. The causes of AUB include a broad spectrum of diseases. The main classification of AUB according to FIGO has 9 categories of causes that is the acronym as "PALM-COEIN". This was a descriptive retrospective study using data of medical records of patients with abnormal uterine bleeding. The results showed that of: 51 cases with AUB, most were at the age of 41-50 years (24 cases; 47.06%), with the youngest age was 14 years and the oldest age was 55 years. Most of the cases had normal body mass index, multiparity, and housewife. PALM-COEIN classification showed that most were leiomyoma (29 cases; 56.86%) and ovulatory dysfuntion (11 cases; 21.57%). Conclusion: Of the 51 patients with AUB at the Obstetrics and Gynecology Department of Prof. Dr. R. D Kandou Hospital Manado from January 2013 to December 2014, most cases were aged 41-50 years, multiparity, normal BMI, leiomyoma, treatment with D & C, and the pathological tesult was hyperplasia Keywords: abnormal uterine bleeding (AUB) Abstrak: Perdarahan Uterus Abnormal (PUA) merupakan penyebab tersering perdarahan abnormal per vaginam pada masa reproduksi wanita. Sekitar 30% wanita datang ke pusat pelayanan kesehatan dengan keluhan PUA selama masa reproduktif. Penyebab terjadinya PUA mencakup spektrum yang luas dari berbagai penyakit. Klasifikasi utama yang digunakan untuk PUA berdasarkan FIGO terdapat 9 kategori penyebab yaitu akronim dari “PALM-COEIN”. Jenis penelitian ialah deskriptif retrospektif, dengan menggunakan data rekam medik pasien dengan PUA. Hasil penelitian memperlihatkan dari 51 kasus dengan PUA didapatkan paling sering pada usia 41-50 tahun sebanyak 24 kasus (47,06%), dengan usia termuda 14 tahun dan usia tertua 55 tahun. Kasus PUA terbanyak dengan Indeks Massa Tubuh normal, paritas multipara, dan pekerjaan sebagai Ibu Rumah Tangga. Klasifikasi penyebab dengan PALM-COEIN sebagian besar ialah jenis leiomioma sebanyak 29 kasus (56,86%) dan jenis ovulatory dysfuntion sebanyak 11 kasus (21,57%). Simpulan: Dari 51 kasus PUA di Bagian Obstetri dan Ginekologi RSUP Prof. R. D. Kandou Manado kurun waktu Januari 2013 sampai Desember 2014 ditemukan terbanyak pada usia 41-50 tahun, multipara, IMT normal, jenis PUA leiomioma, pengobatan D & C, dengan hasil PA hiperplasia.Kata kunci: perdarahan uterus abnormal (PUA)

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 Palm-coein classification of abnormal uterine bleeding and clinicohistopathological correlation

2021 ◽  
Vol 10 (4) ◽  
pp. 1587
Author(s):  
Vimal H. Vasava ◽  
Bhavesh B. Airao ◽  
Milan R. Shingala
Keyword(s):  
Classification System ◽  
Imaging Techniques ◽  
Abnormal Uterine Bleeding ◽  
Uterine Bleeding ◽  
Reproductive Age ◽  
Women Of Reproductive Age ◽  
Correct Treatment ◽  
Medical College ◽  
Ovulatory Dysfunction

Background: The aim was to categorize women with AUB as per the PALM-COEIN classification system as this is a step towards cause based diagnosis and focused management of patients. The acronym PALM-COEIN comes from arranging basic categories of the classification system. The PALM group comprises the structural entities, which can be measured visually or by using imaging techniques and histopathology. The COEIN group comprises the non- organic types which cannot be defined by imaging or histopathology.Methods: The study comprised 350 women of reproductive age with AUB for minimum 3 month time span. It describes and observes AUB in amount, interval and frequency for women attending out-patient Gynaecology department of C. U. Shah Medical College and Hospital, Surendranagar (Gujrat) over a period of 1year from November 17 to October 18. They were assessed on the basis of structured history, physical examination, local pelvis examination, investigations, USG findings and endometrial histopathological report. Cause of AUB was determined and treatment was given to the patient as appropriated by categorization done in agreement with the PALM-COEIN classification.Results: The most prevalent cause of AUB was ovulatory dysfunction (n=99, 28.2%). Next common cause was leiomyoma (n=90, 25.7%), followed by endometrial causes (n=52, 14.5%), adenomyosis (n=30, 8.5%) not yet classified (n=32, 9.7%), malignancy and hyperplasia (n=28, 8.1%), polyp (n=9, 2.5%), iatrogenic (n=7, 2.2%) and coagulopathy (n=1, 0.3%).Conclusions: The PALM-COEIN classification helps to practically as certain because of AUB, and there by effectively adopt the correct treatment for AUB patients.

scholarly journals Kejadian perdarahan uterus abnormal di RSUP Prof. Dr. R. D. Kandou Manado tahun 2015

e-CliniC ◽  
2016 ◽  
Vol 4 (2) ◽  
Author(s):  
Genuine G.E. Tendean ◽  
Maya Mewengkang ◽  
John J.E. Wantania
Keyword(s):  
Histological Examination ◽  
Medical Records ◽  
Secondary Data ◽  
Abnormal Uterine Bleeding ◽  
Descriptive Study ◽  
Uterine Bleeding ◽  
Reproductive Age ◽  
Women Of Reproductive Age

Abstract: Abnormal uterine bleeding (AUB) is the most frequent gynecologic symptoms in women of reproductive age outpatients with a prevalence of 11 of 13 women and is increasing with aging reaching 25% among women of reproductive age. This study was aimed to describe cases of AUB at Prof. Dr. R. D. Kandou Hospital Manado in 2015. This was a retrospective descriptive study using secondary data of the medical records. The results showed that there were 62 cases of AUB. Most of them were at the age of 41-50 years (33.87%) meanwhile the minimum were <20 years and 21-30 years (9.68%). Based on BMI, the highest percentage was BMI 23.0-24.9 (30%). For AUB classification PALM-COEIN, the majority were PUA-L (40%). Histological examination was performed in 30.76%. The most common treatment was medicated therapy and D & C (34.62%). Conclusion: In this study, the majority of AUB cases were aged 41-50 years, BMI of 23.0 to 24.9, and PALM-COEIN classification of PUA-L, and medicated therapy plus D & C. Keywords: prevalence, abnormal uterine bleeding Abstrak: Perdarahan uterus abnormal (PUA) merupakan gejala ginekologik yang paling sering pada pasien rawat jalan wanita usia reproduksi dengan prevalensi 11 dari 13 wanita. Kejadian PUA meningkat dengan berjalannya usia, mencapai 25% pada wanita usia reproduksi. Penelitian ini bertujuan untuk mengetahui gambaran pasien PUA di RSUP. Prof. Dr. R. D. Kandou Manado tahun 2015. Jenis penelitian ialah deskriptif retrospektif dengan menggunakan data rekam medik. Hasil penelitian menunjukkan terdapat 62 data kasus PUA. Berdasarkan usia, terbanyak usia 41-50 tahun (33,87%) dan yang paling sedikit usia <20 tahun dan 21-30 tahun (9,68%). Berdasarkan IMT, IMT 23,0-24,9 yang paling tinggi (30%). Untuk klasifikasi PUA PALM-COEIN, terbanyak ialah PUA-L (40%). Pasien yang melakukan pemeriksaan histopatologik sebanyak 30,76% dan yang tidak melakukan pemeriksaan 69,24%. PUA dengan penanganan medikamentosa dan D&C memiliki persentase terttinggi (34,62%). Simpulan: Pada studi ini, kejadian PUA terbanyak pada usia 41-50 tahun, IMT 23,0-24,9, klasifikasi PUA-L, dengan pilihan penanganan terbanyak medikamentosa dan D&C.Kata kunci: kejadian, PUA

Etiological structure and diagnosis of abnormal uterine bleeding

GYNECOLOGY ◽  
2018 ◽  
Vol 20 (2) ◽  
pp. 14-17
Author(s):  
G E Chernukha ◽  
I A Ivanov ◽  
Z N Efendieva ◽  
M R Dumanovskaya ◽  
A V Asaturova
Keyword(s):  
Diagnostic Accuracy ◽  
Endometrial Hyperplasia ◽  
Ultrasound Examination ◽  
Abnormal Uterine Bleeding ◽  
Uterine Bleeding ◽  
Histological Diagnosis ◽  
Reproductive Age ◽  
Endometrial Polyps ◽  
Chronic Endometritis ◽  
Endometrial Pathology

Abnormal uterine bleeding (AUB) is one of the most common indications for hysteroscopy. Most of the AUB cases occur due to endometrial or myometrium pathology. Among it, endometrial polyps (EP) and chronic endometritis (CE) prevalent in reproductive age, while endometrial hyperplasia (EH) and EP dominate in perimenopause. It was determined that EP and CE are characterized with menorrhagia and metrorrhagia approximately equally, whereas EH reveals AUB with oligomenorrhoea. Verification of exact endometrial pathology by ultrasound examination is hindered, that results in deviations of ultrasound and histological diagnosis. The usage of ultrasound data and AUB’s characteristics may improve the diagnostic accuracy on preadmission period.

scholarly journals Thyroid abnormality in abnormal uterine bleeding: an observational study from Medical College in Eastern UP, India

2017 ◽  
Vol 7 (1) ◽  
pp. 308
Author(s):  
Prachi Singh ◽  
Prashant Dubey ◽  
Shweta Yadav ◽  
Sachin Singh Yadav
Keyword(s):  
Observational Study ◽  
Thyroid Function ◽  
Abnormal Uterine Bleeding ◽  
Uterine Bleeding ◽  
Reproductive Age ◽  
Thyroid Function Tests ◽  
Cross Sectional ◽  
Medical College ◽  
Hormonal Imbalance ◽  
Euthyroid Status

Background: Abnormal Uterine Bleeding (AUB) is one of the commonest gynecological complain in reproductive age group. Menstrual abnormalities are commonly seen when there is any alteration in thyroid function. Objective of present study was to investigate the prevalence of AUB and to determine the menstrual pattern in cases with thyroid dysfunction.Methods: The present cross sectional observational study was conducted Teerthankar Mahaveer Medical College and Research Center Moradabad. Total 400 cases presenting with AUB were included in the study. Routine blood test, ultrasonography and thyroid function tests were done in these cases.Results: Among all the cases presenting with menstrual abnormalities 26% had hypothyroidism and 9% have hyperthyroidism and rest had euthyroid status. Menorrhagia (45.2%) and polymenorrhoea (37.5%) were commonest menstrual abnormality seen in cases with hypothyroidism. Most cases with hyperthyroidism presented with hypomenorrhoea (27.8%).Conclusions: Thyroid function abnormality is common in cases presenting with AUB and it gets relieved in correcting hormonal imbalance.

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

Abnormal uterine bleeding in women of reproductive age and premenopause

2020 ◽  
Vol 8_2020 ◽  
pp. 29-38
Author(s):  
Solovyeva A.V. Solovyeva ◽  
Chegus L.A. Chegus ◽  
◽  
Keyword(s):  
Abnormal Uterine Bleeding ◽  
Uterine Bleeding ◽  
Reproductive Age ◽  
Women Of Reproductive Age
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