scholarly journals DESCRIPTION ON THE PATIENTS’ CHARACTERISTICS OF ABNORMAL UTERINEBLEEDING BASED ON STRUCTURAL AND NON-STRUCTURAL ETIOLOGY

2021 ◽  
Vol 7 (1) ◽  
pp. 50-55
Author(s):  
Silvia Maya Ananta ◽  
Jimmy Yanuar Annas ◽  
Lilik Herawati
Keyword(s):  
Body Mass Index ◽  
Reproductive System ◽  
Abnormal Uterine Bleeding ◽  
Analytical Description ◽  
District General Hospital ◽  
Uterine Bleeding ◽  
Female Reproductive System ◽  
Medical Record Data ◽  
The World ◽  
Record Data

Abnormal uterine bleeding (AUB) is a problem frequently experienced by women in the world. AUB is not a disease but a symptom that indicates a problem in the female reproductive system or organs. The purpose of research was to determine the description of the patients’ caracteristics of AUB with structural (PALM) and non-structural (COEIN) etiologies. This analytical description study used medical record data from AUB patient in Dr. Soetomo District General Hospital Surabaya in January-December 2019. The number of samples of this study was 65 data, with 36 data for structural etiologies (PALM) and 29 data for non-structural etiologies (COEIN). Caracteristic of patient were seen from 3 categories, i.e., age, parity status, and body mass index (BMI) from 2 etiological categorie

Pathomorphological features of the endometrium in patients with abnormal uterine bleeding in the presence of uterine leiomyoma

2021 ◽  
Vol 69 (6) ◽  
pp. 81-89
Author(s):  
Zoya S. Rumyantseva ◽  
Anna N. Sulima ◽  
Nadezhda I. Volotskaya ◽  
Evgenia Yu. Zyablitskaya ◽  
Sergey S. Anikin ◽  
...  
Keyword(s):  
Reproductive System ◽  
Proliferative Activity ◽  
Uterine Leiomyoma ◽  
Abnormal Uterine Bleeding ◽  
Structural Features ◽  
Uterine Bleeding ◽  
Hormonal Changes ◽  
Female Reproductive System ◽  
Endometrial Cells ◽  
Endometrial Pathology

Hypothesis/Aims of study. One of the problems discussed in the field of obstetrics and gynecology is the combined pathology of the reproductive system. Among the female reproductive system disorders associated with uterine leiomyoma, endometrial pathology prevails in the form of local inflammatory, receptor and hormonal changes. The aim of this study was to evaluate the structural features of the endometrium and its receptivity in patients with uterine leiomyoma, depending on its histological type and localization. Study design, materials and methods. We examined 128 women with leiomyoma manifesting abnormal uterine bleeding, using clinical, instrumental and morphological methods. Results. Combined pathological changes in the endometrium are more characteristic of submucous leiomyoma compared to intramural and subserous leiomyomas. The proliferative activity of endometrial cells in submucous leiomyoma is two or more times higher than in intramural and subserous leiomyoma. In submucous leiomyoma, cell proliferation occurs significantly more often than in other locations of myomatous nodes.

scholarly journals Correlation of body mass index and abnormal uterine bleeding in premenopausal women

2020 ◽  
Vol 9 (11) ◽  
pp. 4640
Author(s):  
Kumarasamy Akalyaa ◽  
Pattacheravanda Nanaiah Shakuntala ◽  
Ramaiah Renuka
Keyword(s):  
Body Mass Index ◽  
Endometrial Cancer ◽  
Body Mass ◽  
Endometrial Hyperplasia ◽  
Premenopausal Women ◽  
Abnormal Uterine Bleeding ◽  
Uterine Bleeding ◽  
Significant Difference ◽  
Menstrual Patterns ◽  
The Mean

Background: As the rate of obesity is increasing in women in the recent years, the incidence of endometrial cancer increases as the body mass index (BMI) increases. Despite the clear evidence linking endometrial cancer and obesity, there is limited public awareness of this relationship. This study was undertaken to evaluate the association of BMI and endometrial pathology in premenopausal women with abnormal uterine bleeding (AUB).Methods: An analytical case control study was conducted in 100 women between the age group of 40 to 55, with AUB in the Department of Obstetrics and Gynecology, ESIC-PGIMSR Bangalore between January 2018 and June 2019. The menstrual patterns and endometrial pattern by histopathology were analysed in women with BMI of 18.5 to 24.99 and ≥25.Results: The mean age of women participated in the study group of between 40- 55 years was 44.83. The mean duration of symptoms was 10.18 months in the cases group and 8.52 months in the control group. The menstrual patterns were comparable and there was no significant difference in both the groups. The mean endometrial thickness, mean BMI, hyperplasia with or without atypia were all higher in the cases group. The frequency of occurrence of atypical endometrial hyperplasia was higher in women with increasing BMI.Conclusions: We found increased BMI to be an important independent risk factor for the development of endometrial hyperplasia with atypia which is a precursor to endometrial carcinoma in premenopausal women with AUB. 

scholarly journals Niche, a growing problem for gynecologist and obstetrician.

2020 ◽  
Vol 8 (2) ◽  
pp. 66-78
Author(s):  
Newton De Paula Ishikawa ◽  
Nathalia Bersi Ishikawa ◽  
Mayra Prado Rodrigues ◽  
Maria Clara De Oliveira Junqueira ◽  
César Augusto Sobrinho ◽  
...  
Keyword(s):  
Surgical Techniques ◽  
Abnormal Uterine Bleeding ◽  
Uterine Bleeding ◽  
World Health ◽  
Abnormal Placentation ◽  
Cesarean Scar Pregnancy ◽  
Cesarean Scar ◽  
The World ◽  
Niche Formation ◽  
Health Organization

Niche formation is a growing problem in Brazil and worldwide. Today, cesarean delivery rates far exceed levels recommended by the World Health Organization. The procedure constitutes the most common surgery in the world, and its most frequent complication is niche formation (84% prevalence), as detected by sonohysterography. Several gynecological problems related to this cesarean scar defect can ensue, with the most frequent symptom being abnormal uterine bleeding. Obstetric problems in subsequent pregnancies include uterine rupture, abnormal placentation, and cesarean scar pregnancy. Recommended treatments yield good results, but there is no consensus on niche prevention, owing to an incomplete understanding of its pathophysiology. Comparisons of surgical techniques have revealed no significant differences. Further studies are needed to elucidate the multifactorial pathophysiology of niche and help to develop approaches for preventing its occurrence.

scholarly journals A study of gynecological profile of patients undergoing hysterectomy with special reference to its indications

2017 ◽  
Vol 6 (8) ◽  
pp. 3651
Author(s):  
Pujitha Devi Suraneni ◽  
Sradhanjali Maharana
Keyword(s):  
Abnormal Uterine Bleeding ◽  
Uterine Bleeding ◽  
Age Group ◽  
Medical Sciences ◽  
Detailed History ◽  
Common Indication ◽  
Common Complaint ◽  
Gynecological Examination ◽  
Number Of Patients ◽  
The World

Background: Hysterectomy is the most frequently performed major gynecological surgical procedure, with millions of procedures performed annually throughout the world. Approximately 90% of hysterectomies are performed for benign conditions, such as fibroids causing abnormal uterine bleeding. Objective of the study was to study the gynecological profile of women undergoing hysterectomy.Methods: In this study 60 cases of hysterectomy were analyzed over a period of 2 years who underwent hysterectomy at Department of Obstetrics and Gynecology, Chalmeda Anand Rao Institute of Medical Sciences, Karimnagar. Informed consent was taken from all women. Detailed history, complete clinical, gynecological examination was carried out.Results: Maximum patients i.e. 56.7% were in the age group of 41-50 years followed by the age of 31-40 years i.e. 33.3%. Maximum number of hysterectomies were performed in Para 3. Maximum number of patients had menstrual problems which are about 63.3% and next more common complaint was discharge per vagina (53.3%). Of the 60 cases that underwent hysterectomies 40% of them are for abnormal uterine bleeding, 30% of them are for uterine fibroid, 15% of them are for endometriosis, 8.3% of them are for adenomyosis, 6.6% of them are for cervical dysplasia.Conclusions: The most common indication for hysterectomy was abnormal uterine bleeding.

scholarly journals Constitutional characteristics of adolescent girls with abnormal uterine bleeding

2020 ◽  
Vol 24 (2) ◽  
pp. 201-207
Author(s):  
O. Kucherenko ◽  
H. Chaika
Keyword(s):  
Body Mass Index ◽  
General Practitioner ◽  
Adolescent Girls ◽  
Comparison Group ◽  
Abnormal Uterine Bleeding ◽  
Uterine Bleeding ◽  
The Body ◽  
Parametric Methods ◽  
Body Structure ◽  
Statistical Research

Annotation. The aim of the study is to find the possibility of predicting abnormal uterine bleeding depending on the constitutional features of the body structure at the outpatient level. 288 young girls were examined. The main group included 58 girls with abnormal uterine bleeding, the comparison group included 230 practically healthy girls of the same age. The constitutional affiliation of the girls was established according to the constitutional typology of W. Sheldon, considered the most reasonable and statistically confirmed. General clinical, anthropometric, somatotypological and statistical research methods were used. We considered only those parameters that can be measured by any general practitioner, namely: body mass index, and body surface area, chest circumference, interspinous, intercristal, intertrochanteric distances, the external conjugate. Analysis of the data obtained was carried out using the program “STATISTICA 5.5” using non-parametric methods for evaluating the results. It is established that the occurrence of abnormal uterine bleeding in girls adolescence in the vast majority of cases is related to their constitutional peculiarities of the body structure and most often this nosology occurs in girls of ectomorphic somatotype (46.60 %), and least often in girls of ecto-mesomorphic somatotype (22.40 %).

scholarly journals Frequency of Common Histopathological Findings among Patients Having Endometrial Thickness ≥5mm

2021 ◽  
Vol 15 (9) ◽  
pp. 2236-2238
Author(s):  
Sadia Sharif ◽  
Ayesha Sajjad ◽  
Amna Kazi ◽  
Ayesha Masood ◽  
Nazish Javaid
Keyword(s):  
Body Mass Index ◽  
Endometrial Carcinoma ◽  
Body Mass ◽  
Rural Areas ◽  
Endometrial Thickness ◽  
Abnormal Uterine Bleeding ◽  
Uterine Bleeding ◽  
Transvaginal Ultrasonography ◽  
Cross Sectional ◽  
Histopathological Findings

Aim: To determine the frequency of common histopathological findings among patients having endometrial thickness >5mm and having atypical bleeding of uterus. Study design: Descriptive and cross sectional study Study settings: Department of Obstetrics & Gynaecology, Kishwer Fazal Teaching Hospital, Sheikhupura from 1st October 2020 to 31st March 2021. Methodology: One hundred and twenty patients were enrolled. Patients were aged between 45 to 60 years. Patient’s detailed demographics including age, parity, socioeconomic grade and body mass index were recorded post written informed consentreceival. Patients having endometrial thickness >5mm with abnormal uterine bleeding were included in this study.All the patients were undergone for transvaginal ultrasonography (TVS). Outcomes were histopathological findings observed. Results: The patients mean age was found to be 51.16±4.88 years with mean body mass index 27.24±4.63 kg/m2. Thirty five (29.2%) patients had parity I and 85 (70.8%) patients had parity II. Forty two (35%) patients had high socioeconomic status and 78(65%) were from low socio economic status. Majority of the patients 80(66.7%) were from rural areas. Secretory and proliferative were the most common histopathological findings found in (45.83% and 26.7%) patients. Frequency of endometrial carcinoma was found among 97(80.8%) cases. Conclusion: The most common histopathological findings were secretory and proliferative and frequency of endometrial carcinoma was too high. Endometrial anomalies can be excluded by transvaginal ultrasonography and is strongly useful in the evaluation of abnormal bleeding from the uterine. Keywords: Endometrial, Transvaginal ultrasonography, Uterine bleeding

scholarly journals Bleeding and Hysteroscopy in Uterine Myomatosis

Fibroids ◽  
2021 ◽  
Author(s):  
Sergio Rosales-Ortiz ◽  
Tammy Na Shieli Barrón Martínez ◽  
Diana Sulvaran Victoria ◽  
Jocelyn Arias Alarcon ◽  
Janeth Márquez-Acosta ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Growth Factors ◽  
Surgical Technique ◽  
Health Services ◽  
Abnormal Uterine Bleeding ◽  
Uterine Bleeding ◽  
Profound Impact ◽  
Multiple Factors ◽  
The World

Uterine leiomyomas are one of the most common diseases in women. However, there is still much about them we do not know. These tumours, also known as fibroids or myomas, affect women mainly during their reproductive years, and they are diagnosed in up to 70% to 80% of women during their lives. The most relevant part of this disease is the profound impact in the quality of life of women, in the provision of health services, and on the costs all around the world. Even though, the majority of women with fibroids are asymptomatic, approximately 30% of them will present severe symptoms, with a broad range of problems such as: abnormal uterine bleeding, infertility, and obstetric complications. There are multiple factors involved in the biology of fibroids: genetic, epigenetic, hormonal, proinflammatory, angiogenic and growth factors, growth factors that are capable of inducing and promoting de development of fibroids. The leiomyoma is surrounded by a pseudocapsule generated by compression and ischaemia of the tumour towards the myometrium and is composed by multiple elements that that promote healing and tissue repair of the myometrium after myomectomy. Therefore, its conservation in the myometrium is essential, regardless of the surgical technique used. Resection by hysteroscopy can be performed in an office or in an operating room, depending on the characteristics of the fibroid, it is required a good diagnosis and experience.

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