Noshin Wasim Yusuf, Rukhsana Nadeem, Ahmad Wasim Yusuf, Rakhshanda Rehman.
Dysfunctional Uterine Bleeding: A Retrospective Clinicomorphological Study over Two Years.
Pak J Obstet Gynaecol Jan ;9(1):27-30.

A retrospective study was carried out to analyse endometrial morphological patterns in cases labelled clinically as "dysfunctional uterine bleeding". Period of study was 2 years from September 1993 through September 1995. Diagnostic endometrial curettage was obtained from a total of 850 cases during this period. Ages of these patients ranged between 30-60 years and menorrhagia was the commonest presenting complaint (69.65%). The morphological break up revealed normal phase of menstrual cycle in 26.27% of cases followed by adenomatoushyperplasia (22.9%), cystic hyperplasia (17.9%), hormonal imbalance (14.76%), endometritis (10.2%), polyp (3.21%), pill endometrium (2.8%) and malignancy in 1.97% of cases, hence making adenomatous hyperplasia the commonest pathological alteration. The results also highlight the accidental findings of organic causes as polyps or malignancy in 5.17% cases thus emphasizing upon the importance of diagnostic curettage in all clinically diagnosed cases of dysfunctional uterine bleeding.

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