ABSTRACT
Background: Abnormal uterine bleeding (AUB) is the one of the most common problem among patients admitted for gynecological surgeries. There are various pathologies which can lead to AUB. History, blood investigations, ultrasonography, hysteroscopy and endometrial aspiration and those who failed to respond for medical management, underwent surgical profile and hysterectomies were done. Later on, FIGO proposed PALM-COEIN system for systematic and efficient management of AUB, which helps in better and successful management of AUB patients. Aim: To analyze the etiology of abnormal uterine bleeding in women who underwent surgical management. Materials and methods: It was a retrospective study done in Obstetrics and Gynecology Department of King George Hospital, Visakhapatnam from January 2017 to December 2018. A total of 143 cases who failed to respond for medical management and underwent surgeries like hysterectomies, myomectomies and polypectomies for AUB, were selected and hysterectomy specimens were evaluated in a structured proforma. Results: The most common age-group presenting with AUB was 45 to 49 years of age (30.06%). Dysmenorrhoea was found to be the most common associated symptom in AUB patients (68.3%). The most common surgical procedure done was Total Abdominal Hsterectomy (75%). As per PALMCOEIN classification, the most common type in our study was found to be AUBL (48.2%). Nissy G, Sujatha R, N. Uma, S. Sowmya, Pratyusha R. Analysis of etiology in women who underwent surgical management for abnormal uterine bleeding in a tertiary care centre, Visakhapatnam. IAIM, 2019; 6(10): 82-85. Page 83 Conclusions: Incidence and pattern of AUB varies according to the age of the patient. It is more common in perimenopausal age-group. Classification of AUB as per PALM-COEIN helps in better understanding of disease and successful management of patients.