Diagnostic dilatation and curettage at Siriraj Hospital.

Dilatation and curettage (D & C) was carried out in 914 patients, with abnormal uterine bleeding, who visited GYN-section, Siriraj Hospital between April 1985 and March 1986. The histological results showed that proliferative endometrium was most common (47.5 percent). Endometrial hyperplasia (16.1 percent), secretory endometrium (13.1 percent), atrophic endometrium (9.8 percent) were next in order. Endometrial carcinoma was found in 22 cases (2.4 percent), with 0.39 percent of the women younger than 40 years of age, and 4.94 percent of the women 40 years of age or order. There were 154 patients with previous history of oral or injectable contraceptive use, proliferative endometrium was found in 88 cases (57.1 percent) and no malignancy was found. This study showed that the common cause of abnormal uterine bleeding was anovulatory bleeding. Women who are younger than 40 years of age without risk factors of endometrial cancer, would have an alternative treatment of ateriod hormone, followed by D & C when he uterine bleeding could not be controlled. All woman with previous history contraceptive pills use or DMPA who show no abnormalities finding on pelvic examination.