Endometrial pathology in abnormal uterine bleeding (AUB) & role of different techniques of endometrial sampling in evaluation of AUB: A cross-sectional study

• DOI: 10.18231/j.ijogr.2024.087
• Publication Date: 2024-08-20T10:56:40Z
• Authors: Mahesh Asalkar; Ilaaf Rumani; Mangal Supe; Smita Thakkarwad; Sinchana Ramesh; Sayali Shivkumar ...; Amrita Gautam
• Keywords: Curettage; Endometrial hyperplasia; Atypia; Endometrial Polyp; Uterine bleeding

: Abnormal uterine bleeding (AUB), traditionally defined as that is abnormal in volume, regularity, and/or timing. It affects 14–25% of women reproductive age. AUB has a major impact on quality life women. Aetiology may be structural and functional varies with the age group. Histology endometrium remains mainstay diagnosis pathology management AUB. Various techniques such endometrial sampling by pipelle, dilatation curettage (D & C) hysteroscopy are used to obtain for histological diagnosis. A single center prospective cross-sectional study at teaching institute was carried out include 150 females from 18-70 years presenting bleeding. Objective analyse prevalence various pathologies AUB, symptomatology well wise distribution compare feasibility different collecting sample. Endometrial sample obtained either OPD Pipelle brush or Surgical Dilatation Curettage method hysteroscopy. Statistical Analysis done using Epi-Info-7 software. Commonest group 41-50 (40%) years, 64% were para 3 more, Proliferative secretary changes, 53(35.3%) 24(16%) cases while hyperplasia without atypia 18 (12%) 7 (4.7%), carcinoma 5 (3.3%) polyp seen 8 (5.3%). Heavy menstrual normal duration commonest presentation 64%. technical failure 2 pipelle biopsy inadequate curettage. Uterine perforation one case which managed conservatively. Technical needs addressed considering background high risk factors, TVS imaging, repeat use offered basis.