Nazia Sajjad, Samra Ismat, Amna Fareed.
Examine the prevalence and types of endometrial hyperplasia and its management in premenopausal women presenting with abnormal menstrual bleeding.
Pak J Med Health Sci Jan ;13(4):1322-4.

Aim : To determine the prevalence of menstrual hyperplasia in premenopausal women with abnormal menstrual and uterine bleeding. Study Design: Cross sectional/observational study. Place and Duration of Study : Department of Obstetrics & Gynaecology, Niazi Medical & Dental College Sargodha from 1 st October 2017 to 31 st March 2018. Methods: A total of 302 women with abnormal menstrual bleeding were enrolled. Patient ’s ages were ranging from 35 to 60 years. Patients detailed medical history including age, sex, socio-economic status, education were examine after taking informed consent from all the patients. Transvaginal ultrasonography was performed to examine the endometrial thickness. Endometrial sampling was done by pipelle-endocurette. All the histopathological findings were examined. Management associated to hyperplasia was recorded. Results: Eighty five (28.15%) patients diagnosed to had endometrial hyperplasia. Most of the patients 44 (51.76%) were ages between 45 to 55 years. Parity was noted as nulliparous in 9 (10.59%) patients and multiparous in 74 (89.41%) patients. 56 (65.89%) patients found had endometrial thickness above 10mm. The most commonest type of endometrial hyperplasiawas simple hyperplasia without atypia in 49 (57.65%) patients. Conclusion: The prevalence of endometrial hyperplasia was high and most of the patients were ages 45 to 55 years. Early and accurate diagnosing can helps to reduce the morbidity associated with endometrial hyperplasia.

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