Histopathological pattern of endometrial curettings in cases of abnormal uterine bleeding

To determine the histopathological pattern of endometrial curetting in cases of abnormal uterine bleeding in our setup. Descriptive study. Department of Pathology Peoples Medical College Nawabshah. January 1999 to December 2008. Endometrial curettage of 1209 cases presenting with abnormal uterine bleeding ranging from age groups 20 to over 60 years were studied. The patients were subdivided in to groups according to age and pattern of bleeding. The histopathological diagnosis was made and results were tabulated. 502 [41 .5%]presented with menorrhagia, [32%] with inter menstrual bleeding, 121 [10%] patients with polymenorrhoea and 61 [5.1%] with post menopausal bleeding. The various histological diagnoses included proliferative phase, cystic hyperplasia, adenomatous hyperplasia, endometritis, polyps and endometrial carcinoma. Diagnostic curettage provides help in definite diagnosis and proper treatment and is of importance in postmenopausal bleeding. Endometrial hyperplasia is the commonest lesion in patients with dysfunctional uterine bleeding

Frequency of bacterial vaginosis and its rapid diagnosis in married females of child bearing age

The aim of this study was to see frequency to establish early diagnosis comparing various laboratory methods for detection of vaginosis in married women of child hearing age with or without vaginal discharge. 150 randomly selected non-pregnant, pregnant females with vaginal and without discharge were included in the study. The study was conducted between March 2001 to October 2001 at Microbiology Department, Basic Medical Sciences institute, Jinnah Post Graduate Medical Center, Karachi. Out of 150 high vaginal swabs, 100 females had complaints al discharge. 50% were just suffering from increased vaginal discharge, 28% Were due to bacterial vaginosis, 10% of candidiasis, 4% each of trichomoniasis and cervicitis and 3.3% were suffering from mixed infections. Amsel's Clinical criteria is accurate, sensitive and specific. Wet mount, Gram's staining are simple procedures for early diagnosis. It is concluded that Amsel's clinical criteria and Gram's staining are help-fill in rapid diagnosis in bacterial vaginosis. Conventional culture methods are not always reliable, are costly and lime consuming. It is advised that Amsel's criteria and Gram's staining should he adopted for diagnosis of bacterial vaginosis