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Validation of endometrial curettage in abnormal uterine bleeding in a teaching institute of central India: A prospective study

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Int J Med Res Health Sci. |

Authors: Smita S Patne, Manik S Sirpurkar
Int J Med Res Health Sci. 2013;2(3):491- 495 |  DOI:10.5958/j.2319-5886.2.3.085

ABSTRACT

Background: Abnormal uterine bleeding (AUB) is one of the common reasons for female patients to consult a gynecologist. AUB include bleeding from structural causes like polyps, endometrial hyperplasia, chronic endometritis, proliferative endometrium, fibroids, carcinoma and pregnancy related complication and dysfunctional uterine bleeding. Methods: A prospective study done in one  year duration among 210 patients of 20-70 years age group. A tissue sample is taken after endometrial curettage and examined by a pathologist for various lesions. The results: Largest number of AUB patients were about 31-40 years age group. The most common cause of AUB is endometrial hyperplasia. AUB is found in more  multiparous women and menorhhagia is a most common bleeding pattern. Conclusion: Endometrial curettage is a sensitive tool for AUB diagnosis. Very little pathology can escape this investigating tool. It also avoids unnecessary hysterectomy.

Keywords: Abnormal Uterine Bleeding, Endometrial curettage, Hysterectomy, Menorrhagia, Dysfunctional Uterine Bleeding.

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