ABSTRACT

Objective: To determine the frequency of structural causes of abnormal uterine bleeding among non-gravid females during reproductive age at tertiary care Hospital.

Methods: This cross Sectional Study was done at department of Obstetrics and Gynaecology in ISRA University Hospital Hyderabad, during 6 months from January 2015 to June 2015. A total of 194 reproductive aged non-gravid women with abnormal uterine bleeding regardless of parity were included. A thorough medical history was gathered, including a physical examination. Ultrasound pelvis and abdomen were used to assess structural causes, including endometrial thickness, the existence of cystic spaces, or focal masses and echogenic sites in the myometrium or endometrial cavity. The data was collected using a study proforma.

Results: The study included 194 non-gravid females and their mean age was 35.31±6.69 year. Among non-gravid females, structural factors of abnormal uterine bleeding were found to be endometrial polyp in 20.62% of females, adenomyosis in 11.34% of cases, leiomyoma in 58.76% cases, and endometrial hyperplasia was found in 9.28% of females. Polyp, adenomyosis, and endometrial hyperplasia were all shown to be considerably higher in women aged 41 to 49. Grand multiparous and multiparous women had significantly more polyps and adenomyosis, while primiparous and nulliparous women had significantly more endometrial hyperplasia and leiomyoma.

Conclusion: In non-gravid women of reproductive age, leiomyoma was found to be the most common cause of abnormal uterine bleeding, followed by endometrial polyp, adenomyosis, and endometrial hyperplasia.`

Key words: Abnormal uterine bleeding, Leiomyoma, Endometrial hyperplasia, Polyp, Adenomyosis.