Histopathological spectrum of endometrium in dysfuctional uterine bleeding

Abstract

Dysfunctional Uterine Bleeding (DUB) is one of the most common and significant gynaecological complaints seen in about 10-15% of women attending a gynaecological clinic. DUB is excessive abnormal bleeding from the endometrium that is unrelated to any anatomic lesions of the genital tract. The largest incidence of DUB is in the women of the childbearing age group and menorrhagia was more common in that age group. The objective was to study histopathological patterns of endometrium in DUB and clinicopathological correlation. Total 190 cases diagnosed as DUB are included. The commonest age group was 31-40 years (45.26%) and is seen most commonly in the multiparous women (71.58%). Menorrhagia was the commonest bleeding pattern found in 139 (73.16%) cases. Histopathologically commonest endometrial pattern associated with DUB is endometrial hyperplasia seen in 76 (46%) cases followed by proliferative endometrium in 42 (22.10%) cases. No age was exempted from DUB. Menorrhagia was the commonest bleeding pattern.