Food recommendations for abnormal uterine bleeding in Traditional Iranian medicine on the basis of Hemorheology

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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P15.06: Accuracy of a sonographic based triage with endometrial sampling during saline contrast sonohysterography in pre- and post-menopausal women with abnormal uterine bleeding

Ultrasound in Obstetrics and Gynecology ◽

10.1002/uog.11967 ◽

2012 ◽

Vol 40 (S1) ◽

pp. 229-229

Author(s):

F. Leone ◽

C. Marciante ◽

C. Lanzani ◽

A. Crepaldi ◽

M. Mariani ◽

...

Keyword(s):

Abnormal Uterine Bleeding ◽

Uterine Bleeding ◽

Endometrial Sampling ◽

Menopausal Women ◽

Post Menopausal

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Evaluation of the diagnostic accuracy of transvaginal sonography versus hysteroscopy in detection of submucous myomas in peri and postmenopausal women with abnormal uterine bleeding

International Journal of Reproduction Contraception Obstetrics and Gynecology ◽

10.18203/2320-1770.ijrcog20213856 ◽

2021 ◽

Vol 10 (10) ◽

pp. 3885

Author(s):

Kushla Pathania ◽

Surbhi Sharma

Keyword(s):

Diagnostic Accuracy ◽

Postmenopausal Women ◽

Abnormal Uterine Bleeding ◽

Uterine Bleeding ◽

Transvaginal Sonography ◽

Cross Sectional ◽

Predictive Values ◽

Menopausal Women ◽

Submucous Fibroid ◽

Post Menopausal

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.

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Abnormal Uterine Bleeding in Pre-Menopausal Women

Journal of Obstetrics and Gynaecology Canada ◽

10.1016/s1701-2163(15)30732-5 ◽

2013 ◽

Vol 35 (5) ◽

pp. S1-S3 ◽

Cited By ~ 19

Author(s):

Sukhbir Singh ◽

Carolyn Best ◽

Sheila Dunn ◽

Nicholas Leyland ◽

Wendy Lynn Wolfman ◽

...

Keyword(s):

Abnormal Uterine Bleeding ◽

Uterine Bleeding ◽

Menopausal Women

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Thyroid function in abnormal uterine bleeding

International Journal of Reproduction Contraception Obstetrics and Gynecology ◽

10.18203/2320-1770.ijrcog20192416 ◽

2019 ◽

Vol 8 (6) ◽

pp. 2270

Author(s):

Ruthvika Kundoor ◽

Burri Sandhya Rani

Keyword(s):

Thyroid Function ◽

Abnormal Uterine Bleeding ◽

Thyroid Function Test ◽

Uterine Bleeding ◽

Reproductive Age ◽

Age Group ◽

Clinically Normal ◽

Biochemical Evaluation ◽

Menstrual Pattern

Background: AUB is any abnormal uterine bleeding in the absence of any palpable pelvic pathology and demonstrable extra genital causes. AUB is responsible for 10% of gynaecological complaints. Thyroid hormone is very important to affect the menstrual pattern. The objective of this study was to evaluate thyroid function test in women with AUB and to assess the menstrual pattern in women with thyroid dysfunction.Methods: The present study was conducted in the Department of Obstetrics and Gynecology, Laxmi Narasimha Hospital, Hanamkonda, Hyderabad, Telangana, India 80 women of reproductive age group between 15-45 years women with menstrual disorders like menorrhagia, oligomenorrhea, hypomenorrhea, polymenorrhea, metrorrhagia, and amenorrhea. Quantitative determination of T3, T4, and TSH by CLIA estimated in autoanlyser.Results: About 80 women participated in the study in which Most of the subjects belong to 26-30 years of age group. Maximum patients i.e. 41 (51.2%) patients were para one to 2. Commonest cause bleeding pattern was menorrhagia 41.25%. 15 apparently normal patients with AUB belonged to the category of subclinical hypothyroidism (15%). Hormonal levels revealing profound hypothyroidism in patients without any symptoms was present in only 10% of cases. 2.5% of cases had hyperthyroidism though they were clinically normal. Patients who were sub-clinically hypothyroid were maximally presenting as polymenorrhoea (50%) and menorrhagia (12.1%) and only 6.27% of patients had oligomenorrhoea. Patients who were profound hypothyroid were predominantly having polymenorrhagia (83.3%) and (62.5%) of patients had oligomenorrhoea.Conclusions: So, biochemical evaluation of thyroid functioning should be made mandatory in all provisionally diagnosed cases of AUB to detect thyroid dysfunction.

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