A CLINICAL STUDY OF POSTMENOPAUSAL BLEEDING
Journal Title: Journal of Evolution of Medical and Dental Sciences - Year 2017, Vol 6, Issue 77
Abstract
BACKGROUND Menopause defined as permanent cessation of menstruation from loss of ovarian follicular activity. It is not just cessation of menstruation, it is “depletion of ovarian follicles” leading to decrease in ovarian hormones. Postmenopausal bleeding (PMB) is bleeding occurring after 12 months of amenorrhoea in women of age where the menopause can be expected. The objectives of this study are1. To study the relative frequency of the different aetiological causes of postmenopausal bleeding. 2. To evaluate the different investigation procedures for the same. MATERIALS AND METHODS In postmenopausal women, detailed history was taken as per proforma, an informed consent was obtained. Gynaecological examination, pap smear and ultrasound were done. Most of the histopathology confirmed after examining hysterectomised specimens. Design and Duration- Case control study of 50 postmenopausal women, done at the Obstetrics and Gynaecology Department, Kakatiya Medical College, Warangal, for 2 years duration. RESULTS In our study, 60% of pap smears were inflammatory and 14% were positive for malignancy. In colposcopy guided cervical biopsy, 50% showed chronic cervicitis with 14% being malignant. In women with postmenopausal bleeding, majority were diagnosed with benign lesions i.e. Senile endometritis, endometrial hyperplasia, polyps, cervical erosion and prolapsed uterus. CONCLUSION Universal screening of all postmenopausal women with bleeding for genital tract malignancy is mandatory. Screening should be started effectively from reproductive age. Health education to all postmenopausal women is necessary to impact awareness on genital tract malignancy. Effective use of gynaecologist and community participation will ensure a good healthy life after menopause and prolongs life expectancy.
Authors and Affiliations
Sarala Kuramu, Varsha Rani P, Tejashree Shirale
Keywords
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- EP ID EP267590
- DOI 10.14260/Jemds/2017/1195
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