Role of dilatation and curettage and interpretation of endometrial biopsy in gynaecological cases

ABSTRACT

310 Cases of diagnostic D and C were collected randomly from Gynae unit of Lady Reading Hospital Peshawar from January 1990 to January 1991. These were cases of infertility 49.26%, menorrhagia 13.22%, irregular bleeding 29.67%, Postmenopausal bleeding 5.164%, primary and secondary infertility 30.96% and 18.38% respectively. Various aspects like age, parity, marital status, clinical features and histopathological results were analysed 6.45% were below the age of 20 years. 63.22% between 21 to 40 years, 25.16% between 40-50 years and 5.16% were above the age of 50 years. 16.45% patients were nullipara. 15.48% Primipara and 37.09% and 30.96% were multipara and grand multipara respectively. 0.64% patients were un-married, 84.83% were married and 40.51% were widows. Results of endometrial biopsies were as follows. Proliferative phase 47.74%. Secretory phase 35.48%, tuberculous endometritis 1.93%, cystic endometrial hyperplasia 8.38%, Adenomatus hyperplasia 1.29% and adenocarcinoma 0.96%