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Association of Menstrual Pattern with Hysteroscopic and Histopathological Findings in Premenopausal Women Original Article
Author(s) Name:
Nasira Tasnim, Yasmin Ara, Kauser Masoom, Amna Abbasi
Address of Correspondence
Professor/Head of Unit II, MCH center, Shaheed Zulfiqar Ali Bhutto Medical University, (SZABMU-PIMS)
ABSTRACT

Objectives: To determine an association between various menstrual patterns with hysteroscopic and histopathological findings in premenopausal women presenting with abnormal uterine bleeding.
Study Design: Cross Sectional Study .
Place and Duration:  MCH Centre PIMS, gynae unit II, from January 2013 to June 2013.
Methodology: All patients presenting with menstrual disturbances in Menstrual Irregularities clinic were thoroughly evaluated and later underwent hysteroscopic guided biopsy and histopathology as a day care procedure after a written informed consent. The data was entered in predesigned study Performa which was analyzed through SPSS version 21. Association between various menstrual pattern, hysteroscopic and histopathologic findings were determined through Chi-square test and a P value of <0.05 was taken significant.
Results: During study period a total of 146 patients underwent day care hysteroscopy. Majority of the patients were with polymenorrhagia n=43(29.5%), followed by menorrhagia n=40(27.4%), and metrorrhagia n=30(20.5%). On hysteroscopy, the commonest lesion was sub mucous fibroid, found in 21 (14.3%) patients, occurring with greatest frequency in patients with polymenorrhagia. Second commonest lesion was endometrial polyp, found in 5 (3.4%) patients, occurring with greatest frequency in patients with menorrhagia. However no significant association was found between menstrual patterns and uterine pathology. Regarding histopathological findings, endometrial hyperplasia was reported in 8 (5.4%) cases, occurring with equal frequency in patients with menorrhagia, metrorrhagia and intermenstrual bleeding. No case of endometrial carcinoma was found in our study.
Conclusion: No significant association was found between various menstrual patterns, Hysteroscopic and histopathological findings.
Keywords: Menstrual pattern, Hysteroscopy, Histopathology.

Cite this article as: Tasnim N, Ara Y, Masoom K, Abbasi A. Association of Menstrual Pattern with Hysteroscopic and Histopathological Findings in Premenopausal Women. J. Soc. Obstet. Gynaecol. Pak. 2016; Vol 6(1):34-38.

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