Abnormal uterine bleeding; histopathological diagnosis by conventional dilatation and curettage

ABSTRACT

Abnormal uterine bleeding is one of the most frequent conditions in gynecology. Hysteroscope and plastic devices for outdoor endometrial biopsy are gaining popularity but in our setup traditional dilatation and curettage play significant role in diagnosis of abnormal uterine bleeding. To detect different histopathological findings in abnormal uterine bleeding by conventional dilatation and curettage From December 2002 to March 2005. Department of obstetric and gynecology Unit-I Allied Hospital, Faisalabad, under the guidance of Professor Mahnaz Roohi. 161 patients with abnormal uterine bleeding divided into adolescent, reproductive and peri-menopausal age groups. Maximum 59.02% patients with abnormal uterine bleeding were perimenopausal. Menorrhagia 49.06% was commonest bleeding pattern. Histopathological reports revealed 62.11% dysfunctional uterine bleeding, 21.73% organic lesions and 16.16% pregnancy complications. Complications occurred only in 0.62%. Dilatation and curettage is a safe and successful procedure for detecting intrauterine pathologies in abnormal uterine bleeding