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 Sonographic Features of Adenomyosis

2017 ◽  
Vol 11 (1) ◽  
pp. 76-81
Keyword(s):  
Obstet Gynecol ◽  
Color Doppler ◽  
Objective Assessment ◽  
Uterine Fibroids ◽  
Abnormal Uterine Bleeding ◽  
Color Doppler Ultrasound ◽  
Uterine Bleeding ◽  
Retrospective Assessment ◽  
Color Doppler Us ◽  
Pelvic Congestion

ABSTRACT The association between adenomyosis, assisted reproductive technology outcomes, and pregnancy complications is well established. The purpose of this retrospective study was to assess the most common sonographic features of adenomyosis and prevalence of coexisting pathology. Systematic retrospective assessment of 828 transvaginal color Doppler ultrasound exams was performed by a single evaluator using ViewPoint reporting system. About 132 patients with abnormal uterine bleeding and sonographic signs of adenomyosis were identified. The average age was 40.6 years. The average gravidity and parity were 2.8 and 2.2 respectively. In addition to abnormal uterine bleeding observed in all 132 patients, pelvic pain and dysmenorrhea were encountered in 64 (48%) patients respectively. Eight patients (6.1%) were infertile. The uterus was anteverted in 103 (78%), and retroverted in 29 (22%) of patients. The most common sonographic findings associated with adenomyosis were heterogeneous myometrium with striation and posterior shadowing and loss of endometrial–myometrial interface observed in 111 (84%) patients. Asymmetrical myometrial thickening was detected in 106 (80.4%), and globular uterus in 100 (75.5%) patients. Seventy-six (57.5%) patients had increased myometrial vascularity on color Doppler US. Thirty-five (26%) patients had myometrial cysts (15 superficial and 20 deep). Coexisting uterine fibroids were noticed in 40 (30.3%) patients and 20 (15.5%) patients had adnexal masses. Seventeen (12.8%) patients had intra- and extraparenchymal type of pelvic congestion syndrome. Heterogeneous myometrium with striation and posterior shadowing, loss of endometrial–myometrial interface, asymmetrical myometrial thickening, and globular uterus were the most common sonographic features of adenomyosis. Presented data will aid in development of the integrated scoring system for detection and objective assessment of adenomyosis. How to cite this article Arya S, Plavsic SK. Sonographic Features of Adenomyosis. Donald School J Ultrasound Obstet Gynecol 2017;11(1):76-81.

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 Acute Pelvic Pain in Nonpregnant Reproductive Age Patients

2012 ◽  
Vol 6 (2) ◽  
pp. 207-217 ◽  
Author(s):  
Nadah Zafar
Keyword(s):  
Pelvic Pain ◽  
Low Cost ◽  
Color Doppler ◽  
Lower Abdominal Pain ◽  
High Sensitivity ◽  
Color Doppler Ultrasound ◽  
Reproductive Age ◽  
Emergency Setting ◽  
Acute Pelvic Pain

ABSTRACT In an emergency setting pelvic ultrasound is the tool of choice for the evaluation of the patients presenting with acute pelvic pain. It has a high sensitivity and specificity for detection of pelvic pathology, low cost, widespread availability and lack of ionizing radiation. This article presents a variety of case scenarios regarding the nonpregnant female of reproductive age presenting with acute pelvic and lower abdominal pain. By using illustrative images, the reader will be able to differentiate between the most common causes of abdominal and/or pelvic pain and identify typical B-mode and color Doppler ultrasound findings and CT images that require immediate treatment, while minimizing the performance of unnecessary additional imaging and invasive procedures. How to cite this article Zafar N, Kupesic Plavsic S. Role of Ultrasound in the Evaluation of Acute Pelvic Pain in Nonpregnant Reproductive Age Patients. Donald School J Ultrasound Obstet Gynecol 2012;6(2):207-217.

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 ENDOMETRIAL STUDY OF ABNORMAL UTERINE BLEEDING IN WOMEN AT 45 YEARS AND ABOVE

2003 ◽  
Vol 42 (146) ◽  
pp. 83-85
Author(s):  
Ganesh Dangal
Keyword(s):  
Vaginal Bleeding ◽  
Elderly Women ◽  
Abnormal Uterine Bleeding ◽  
The Elderly ◽  
Endometrial Biopsy ◽  
Uterine Bleeding ◽  
Perimenopausal Women ◽  
Abnormal Bleeding ◽  
Post Menopausal ◽  
Abnormal Vaginal Bleeding

ABSTRACTThe study is done to know the causes for the abnormal uterine bleeding in perimenopausal women atChitwan valley and to compare the histopathological findings between the pre-menopausal andpostmenopausal women. Retrospective analysis of patients who have had abnormal bleeding during a periodof one and a half years' from January 2000 to June 2001 in Department of Gynaecological Oncology of BPKoirala Memorial Cancer Hospital (BPKMCH), Chitwan, Nepal. There were total sixty women (aged 45years and above) having abnormal bleeding managed at BPKMCH. A total of sixty patients were studied.Majority (57%) of them was postmenopausal ladies presented with abnormal vaginal bleeding. The agerange was 45 to 81 years. Only 37% had pathological bleeding including malignancies and only about 17%had malignancies. Malignant diseases were found in 7.7% cases in the pre-menopausal ladies whereas itwas 23.4%, almost three times higher, in the post-menopausal ladies. Carcinoma of the cervix and of theendometrium occurred with increasing frequency with increasing age in this study. So, a thorough work-upis needed for the elderly women presenting with an abnormal vaginal bleeding especially to rule outmalignancies.Key Words: endometrial biopsy, endometrial cancer, postmenopausal bleeding.

scholarly journals Role of Multidetector Computed Tomography (CT) Virtual Hysteroscopy in the Evaluation of Abnormal Uterine Bleeding in Reproductive Age

2019 ◽  
Vol 2019 ◽  
pp. 1-6
Author(s):  
Hend S. Saleh ◽  
Nadia M. Madkour ◽  
Ahmed Mahmoud Abdou ◽  
Entesar R. Mahdy ◽  
Hala E. Sherif ◽  
...  
Keyword(s):  
Computed Tomography ◽  
Multidetector Computed Tomography ◽  
Uterine Cavity ◽  
Abnormal Uterine Bleeding ◽  
Uterine Bleeding ◽  
Reproductive Age ◽  
Radiology Department ◽  
Cross Sectional ◽  
Endometrial Polyps

Background. Abnormal uterine bleeding (AUB) may be acute or chronic and is defined as bleeding from the uterine corpus that is abnormal in regularity, volume, frequency, or duration and occurs in the absence of pregnancy. It is a widespread complaint in the primary care units. The prevalence of abnormal bleeding is up to 30% among women of reproductive age. Objective. To assess the role of CT virtual hysteroscopy in the evaluation of the uterine cavity in cases with abnormal uterine bleeding in reproductive age. Methods. Cross sectional study was performed at Obstetrics and Gynecology Department and Radiology Department, Zagazig University hospitals, Egypt, on 124 women with abnormal uterine bleeding in reproductive age, and their uterine cavity was evaluated by both row multidetector computed tomography (MDCT) scanner and Office hysteroscopy. Results. Mean age of studied group was 28.54 ± 5.99 years, and virtual hysteroscopy showed sensitivity 91.1% and specificity 85.3% in detection of abnormalities within uterine cavity. It showed sensitivity 91.1% and specificity 85.3% in cases of endometrial polyps. It yielded 88.5 % sensitivity and 100 % specificity in cases with submucous fibroids, while it yielded only 57.9 % sensitivity and 82.9% specificity in cases of thick endometrium. Conclusion. Virtual CT hysteroscopy is a good negative test in cases of abnormal uterine bleeding but has some limitations that decrease its sensitivity.

scholarly journals Chronic endometritis is an indication for the pregravid preparation

2018 ◽  
Vol 9 (2) ◽  
pp. 36-41 ◽  
Author(s):  
G. M. Savelyeva ◽  
S. A. Mikhalev ◽  
A. G. Konoplyannikov ◽  
L. M. Mikhaleva ◽  
I. I. Babichenko ◽  
...  
Keyword(s):  
Blood Circulation ◽  
Bacterial Culture ◽  
Uterine Cavity ◽  
Abnormal Uterine Bleeding ◽  
Uterine Bleeding ◽  
Reproductive Age ◽  
Cervical Canal ◽  
Chronic Endometritis ◽  
Comprehensive Examination

The crucial role of chronic endometritis in the genesis of endometrial dysfunction has been currently established. The inflammatory process serves as a co-factor and leads to a decrease in the receptivity of the sex hormones of the endometrium due to impaired blood circulation of the tissue and fibrosis in the stroma of the endometrium. This article is devoted to the study of the morpho-functional state of the endometrium in women of the reproductive age with abnormal uterine bleeding, in whom endometritis was diagnosed pathomorphologically, which is important for clarifying indications for the pregravid preparation in the future. A comprehensive examination of patients with abnormal uterine bleeding includes: bacterial culture (PCR) of the cervical canal and uterine cavity, hormonal profile, ultrasound examination of the pelvic organs and a complex histological examination of the uterine biopsy at the 7–10th and 19–21st days of the menstrual cycle, followed by immunohistochemical examination with the use of antibodies to the receptors of estrogens and progesterone, glycodelin, CD138, CD4, CD8, CD20.

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.

Vaginal Bleeding

2020 ◽  
Keyword(s):  
Menstrual Cycle ◽  
Vaginal Bleeding ◽  
Abnormal Uterine Bleeding ◽  
Uterine Bleeding ◽  
Common Cause ◽  
Key Points ◽  
Normal Menstrual Cycle

Key Points Abnormal uterine bleeding refers to bleeding that is excessive or occurs outside normal cyclic menstruationAnovulatory uterine bleeding is the most common cause of abnormal uterine bleeding adolescents within 1–2 years of menarche.It is important to exclude pregnancy and infections prior to initiating treatment for anovulatory bleedingGoals of management for abnormal uterine bleeding include return to pattern of normal menstrual cycle and prevention of anemia.

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