Title: SIGNIFICANCE OF CLINICAL AND HISTOPATHOLOGICAL EVALUATION IN WOMEN WITH POSTMENOPAUSAL BLEEDING
Abstract: BACKGROUNDPostmenopausal bleeding is generally regarded as an ominous and serious alarm of genital pathology.The aim of the present study was to investigate the clinical significance and endometrial pathology in patients with postmenopausal bleeding. MATERIALS AND METHODSThis retrospective study was conducted in the Postgraduate Department of Obstetrics and Gynaecology, SMGS Hospital, Jammu over a period of one year in which 60 cases of postmenopausal bleeding were enrolled in the study.All patients were subjected to detailed history, examination and investigations followed by diagnostic curettage. RESULTSMajority of the patients with postmenopausal bleeding were in the age group of 55 (53.35%), majority of cases 37 (61.67%) were para 4-6.Mean age of onset of menopause was 48.8 years.Obesity was found in 25 cases (41.67%), hypertension in 23 cases (38.33%) and diabetes in 10 cases (16.67%).Out of the 60 cases studied, the most common cause of post-menopausal bleeding was atrophic endometrium 25 cases (45%) followed by endometrial hyperplasia 17 cases (38.33%).Endometrial polyps were found in 5 cases (15%), endometrial adenocarcinoma was found in 9 cases (15%). CONCLUSIONFrom our study, it was observed that the most common cause of postmenopausal bleeding was atrophic endometrium followed by endometrial hyperplasia.Medical illnesses were found more frequent in patients with atypical hyperplasia and endometrial adenocarcinoma as risk factors.