Dysfunctional Uterine Bleeding: A Clinico-Pathological Study at a Tertiary Care Centre

  • Ramesh B.H
  • Rajeshwari Karibasappa Kumbar Dr. Rajeshwari k Assistant professor Department of pathology Gulburga Institute of medical Sciences Gulburga
Keywords: Dysfunctional uterine bleeding, Proliferative phase endometrium, Menorrhagia.


Background: Dysfunctional uterine bleeding (DUB) is a form of abnormal uterine bleeding and it is one of the most common presenting  complains  in gynecology outpatient department in all age groups.Aim and Objectives: The present study aimed to study the clinical features and various histological  patterns of endometrium  in DUB   and correlating histopathology of endometrium with clinical presentation in clinically diagnosed cases of DUB.Methods: Present study is a descriptive type of study conducted over 111 cases over a period of one year from June 2015- June 2016 in the department of pathology at a tertiary care centreResults: Majority of patients with DUB were in 3rd to 4th decade (40.35%) and were multiparous (93.3%). Of the 111 cases, 51.35% of cases showed histological features associated with DUB. Menorrhagia was the most frequent presenting complaint (56.14%) followed by metrorrhagia in 14.04%. Proliferative phase (50.88%) was the most common endometrial pattern seen with DUB cases in age group from 21-50 years. Endometrial hyperplasia occurred between the age group of 30-50years.Conclusion: Menorrhagia is the most common presenting complaint with proliferative phase endometrium.  Age has definite influence on endometrial histology. Histopathology remains the gold standard method of diagnosis of DUB and its types and to exclude the local causes, so as to plan the accurate management in DUB patients.  DOI: 10.21276/APALM.1169


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Original Article