Histopathologic study of endometrium in cases of abnormal uterine bleeding

Background: Abnormal uterine bleeding is one of the most common presenting symptoms among women visiting the gynecology outpatient department. Sonography and endometrial biopsy are the usual methods of evaluation; rarely, invasive procedures like hysteroscopy may be needed. Endometrial sampling can...

Full description

Saved in:
Bibliographic Details
Main Author: J Bindhuja
Format: Article
Language:English
Published: Association of Clinical Pathologists of Nepal 2023-07-01
Series:Journal of Pathology of Nepal
Subjects:
Online Access:https://www.nepjol.info/index.php/JPN/article/view/40891
Tags: Add Tag
No Tags, Be the first to tag this record!
_version_ 1849230214224150528
author J Bindhuja
author_facet J Bindhuja
author_sort J Bindhuja
collection DOAJ
description Background: Abnormal uterine bleeding is one of the most common presenting symptoms among women visiting the gynecology outpatient department. Sonography and endometrial biopsy are the usual methods of evaluation; rarely, invasive procedures like hysteroscopy may be needed. Endometrial sampling can be used as a first step in the evaluation. This study was done to analyze the histopathology of the endometrium and to evaluate the causes of abnormal uterine bleeding. Materials and Methods: Endometrial samples were obtained using dilation and curettage from 50 women presenting to the gynaecology outpatient department with abnormal uterine bleeding symptoms in a medical college hospital. Results: Among the 50 cases, 21 were found to have endometrial hyperplasia (72.4%); 24 were diagnosed to have an organic lesion (48%). The endometrium was found to be in the proliferative phase in the majority of the cases (40%). The most common age group was 31-40 years and simple cystic hyperplasia was the commonest endometrial pattern. Single-parity women were most commonly affected and they showed a secretory endometrium under microscopy. Conclusions: Endometrial sampling should be carried out in every patient with abnormal uterine bleeding to study the histopathology of the endometrium and to evaluate the causes of the disease.
format Article
id doaj-art-2da1e50c7428411bb1dd1e1f36829c2a
institution Kabale University
issn 2091-0797
2091-0908
language English
publishDate 2023-07-01
publisher Association of Clinical Pathologists of Nepal
record_format Article
series Journal of Pathology of Nepal
spelling doaj-art-2da1e50c7428411bb1dd1e1f36829c2a2025-08-21T07:00:52ZengAssociation of Clinical Pathologists of NepalJournal of Pathology of Nepal2091-07972091-09082023-07-011311983198610.3126/jpn.v13i1.4089167941Histopathologic study of endometrium in cases of abnormal uterine bleedingJ Bindhuja0https://orcid.org/0000-0002-2322-5291Sree Mookambikai Institute of Medical Sciences, IndiaBackground: Abnormal uterine bleeding is one of the most common presenting symptoms among women visiting the gynecology outpatient department. Sonography and endometrial biopsy are the usual methods of evaluation; rarely, invasive procedures like hysteroscopy may be needed. Endometrial sampling can be used as a first step in the evaluation. This study was done to analyze the histopathology of the endometrium and to evaluate the causes of abnormal uterine bleeding. Materials and Methods: Endometrial samples were obtained using dilation and curettage from 50 women presenting to the gynaecology outpatient department with abnormal uterine bleeding symptoms in a medical college hospital. Results: Among the 50 cases, 21 were found to have endometrial hyperplasia (72.4%); 24 were diagnosed to have an organic lesion (48%). The endometrium was found to be in the proliferative phase in the majority of the cases (40%). The most common age group was 31-40 years and simple cystic hyperplasia was the commonest endometrial pattern. Single-parity women were most commonly affected and they showed a secretory endometrium under microscopy. Conclusions: Endometrial sampling should be carried out in every patient with abnormal uterine bleeding to study the histopathology of the endometrium and to evaluate the causes of the disease.https://www.nepjol.info/index.php/JPN/article/view/40891abnormal uterine bleedingdilatation and curettageendometrial samplinghistopathology
spellingShingle J Bindhuja
Histopathologic study of endometrium in cases of abnormal uterine bleeding
Journal of Pathology of Nepal
abnormal uterine bleeding
dilatation and curettage
endometrial sampling
histopathology
title Histopathologic study of endometrium in cases of abnormal uterine bleeding
title_full Histopathologic study of endometrium in cases of abnormal uterine bleeding
title_fullStr Histopathologic study of endometrium in cases of abnormal uterine bleeding
title_full_unstemmed Histopathologic study of endometrium in cases of abnormal uterine bleeding
title_short Histopathologic study of endometrium in cases of abnormal uterine bleeding
title_sort histopathologic study of endometrium in cases of abnormal uterine bleeding
topic abnormal uterine bleeding
dilatation and curettage
endometrial sampling
histopathology
url https://www.nepjol.info/index.php/JPN/article/view/40891
work_keys_str_mv AT jbindhuja histopathologicstudyofendometriumincasesofabnormaluterinebleeding