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Sonographic and histopathological findings of endometrium among perimenopausal women with abnormal uterine bleeding- A cross sectional study in north Kerala

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Original Article

Author Details : Ranjana Balathil*, Heera Trivikrama Shenoy, Neena Mampilly, Rejeesh Saroja Ravi, Rabiyabi Vethavayal, Lisha Lakshman

Volume : 11, Issue : 2, Year : 2024

Article Page : 294-300

https://doi.org/10.18231/j.ijogr.2024.056

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Abstract

Background: AUB makes a perimenopausal woman to seek medical care. This study evaluated and correlated the endometrial thickness obtained by ultrasonography and histopathological findings of endometrium in perimenopausal women with AUB.
Materials and Methods: A hospital based observational cross-sectional study was conducted in Obstetrics and Gynaecology Department, Baby Memorial Hospital, Calicut for a period of 18 months. Histo-pathologic evaluation of endometrial tissue was done and was correlated with endometrial thickness.
Results: The average age of women enrolled was 47.88 years with standard deviation of 3.729. The average endometrial thickness was 12.40mm. Endometrial hyperplasia without atypia was the leading histopathological finding obtained after analysis of endometrium (21.5%). This study shows that there is a significant relationship between histopathology findings of endometrium and age of participant and between endometrial thickness and menorrhagia. There was no relationship between histopathology findings and endometrial thickness.
Conclusions: Perimenopausal AUB should be evaluated in a systematic manner, so that endometrial hyperplasia, carcinoma endometrium could be diagnosed in a very early stage and prompt treatment be given at right time reducing morbidity improving the quality of life.
 

Keywords: Perimenopausal AUB, Histopathology, Sonography, Endometrial thickness, Endometrium, Hyperplasia.

How to cite : Balathil R, Shenoy H T, Mampilly N, Ravi R S, Vethavayal R, Lakshman L, Sonographic and histopathological findings of endometrium among perimenopausal women with abnormal uterine bleeding- A cross sectional study in north Kerala. Indian J Obstet Gynecol Res 2024;11(2):294-300

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