INCIDENCE OF ENDOMETRIAL HYPERPLASIA IN 100 CASES PRESENTING WITH POLYMENORRHAGIA/MENORRHAGIA IN PERIMENUPAUSAL WOMEN
AbstractBackground: To study the Incidence of endometrial hyperplasia in perimenupausal women presentingwith polymenorrhagia/menorrhagia. This observational study was conducted at Gynae ‘B’ unit ofKhyber Teaching Hospital Peshawar from January 2000 to December 2001. Methods: One hundredconsecutive patients who presented at Gynaecology OPD with Polymenorrhagia/ Menorrhagia wereregistered and incidence of endometrial hyperplasia evaluated in them. All women were above 45 yearsof age. Post-menopausal bleeding cases were excluded from the study. Results: Out of 100 patients, 15patients were found to have endometrial hyperplasia, 10 patients (66.6%) simple cystic hyperplasia, 3patients (20.0%) had adenomotous hyperplasia, 2 patients (13.3%) had atypical hyperplasia, 8 patients(53.3%) with menorrhagia, 1 (6.6%) with polymenorrhagia, and 6 patients (40.0%) withpolymenorrhoea. Duration of symptoms was from 4 months to 1 year. Thirteen (86.6%) patients weretreated medically, 5 patients (33.33%) needed surgical treatment following medical treatment, 2patients (13.3%) underwent Total Abdominal Hysterectomy (TAH) and Bilateral Salpingooophorectomy (BSO) who were 51–53 years of age with atypical hyperplasia. Conclusion:endometrial hyperplasia is a pre-malignant condition; if treated in time, incidence can be reduced andearly treatment can increase life expectancy and quality in women over age of 45 years.Keyword: Menorrhagia, Polymenorrhagia, Endometrial hyperplasia, Transvaginal Ultrasound, TVS
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