Dysfunctional uterine bleeding: a retrospective clinicomorphological study over two years

ABSTRACT

A retrospective study was carried out to analyse endometrial morphological patterns in cases labelled clinically as "dysfunctional uterine bleeding". Period of study was 2 years from September 1993 through September 1995. Diagnostic endometrial curettage was obtained from a total of 850 cases during this period. Ages of these patients ranged between 30-60 years and menorrhagia was the commonest presenting complaint [69.65%]. The morphological break up revealed normal phase of menstrual cycle in 26.27% of cases followed by adenomatoushyperplasia [22.9%], cystic hyperplasia [17.9%], hormonal imbalance [14.76%], endometritis [10.2%], polyp [3.21%], pill endometrium [2.8%] and malignancy in 1.97% of cases, hence making adenomatous hyperplasia the commonest pathological alteration. The results also highlight the accidental findings of organic causes as polyps or malignancy in 5.17% cases thus emphasizing upon the importance of diagnostic curettage in all clinically diagnosed cases of dysfunctional uterine bleeding