Publication:
Clinical and Endometrial Histopathological Profile of Women with Perimenopausal and Postmenopausal Bleeding

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creativeworkseries.issnISSN (Print) : 1993-2979 | ISSN (Online) : 1993-2987
dc.contributor.authorBhardwaj, Manisha
dc.contributor.authorBista, Kesang Diki
dc.contributor.authorOjha, Neebha
dc.contributor.authorKhaniya, Bishal
dc.date.accessioned2025-11-03T05:55:00Z
dc.date.available2025-11-03T05:55:00Z
dc.date.issued2025
dc.descriptionManisha Bhardwaj Department of Obstetrics and Gynecology, Janakpur Provincial Hospital, Janakpur, Nepal Author Kesang Diki Bista Department of Obstetrics and Gynecology, Maharajgunj Medical Campus, Tribhuvan University Teaching Hospital, Institute of Medicine, Kathmandu, Nepal Author Neebha Ojha Department of Obstetrics and Gynecology, Maharajgunj Medical Campus, Tribhuvan University Teaching Hospital, Institute of Medicine, Kathmandu, Nepal Author Bishal Khaniya Department of Obstetrics and Gynecology, Maharajgunj Medical Campus, Tribhuvan University Teaching Hospital, Institute of Medicine, Kathmandu, Nepal Author
dc.description.abstractAbstract: Introduction: Abnormal uterine bleeding (AUB) in perimenopausal and postmenopausal women is common and clinically important concern, as it may indicate anything from hormonal imbalance to serious pathologies like endometrial hyperplasia or carcinoma . The objective of this study was to assess clinical and endometrial histopathological characteristics in women with perimenopausal and postmenopausal bleeding in TUTH. Methods: This was a descriptive study carried out in the Department of Obstetrics and Gynecology at Maharajgunj Medical Campus, Tribhuvan University Teaching Hospital, Kathmandu from April 2018 to April 2019. All women > 40 years with abnormal uterine bleeding attending gynecology OPD were taken. Endometrial biopsy was done and histopathological examination findings were studied. Results: Among 328 women, 218 were with perimenopausal bleeding and those with postmenopausal bleeding were 110. The most frequent bleeding in ladies with perimenopausal bleeding was menorrhagia in 93(42.9%) and spotting accounting 68 (71%) in postmenopausal bleeding. Out of total 328 cases, 317(96.6%) had benign endometrial findings and 11 cases (3.4%) had malignant endometrial findings. The most frequent histopathological finding in women with perimenopausal bleeding was secretary endometrium. Among postmenopausal bleeding 110 (91%) were benign and 9( 8.2%) had malignant histopathology. Conclusion: The most frequent bleeding pattern in perimenopausal bleeding was menorrhagia and spotting in those with postmenopausal bleeding. Malignant histopathological was found more in postmenopausal bleeding than perimenopausal bleeding.
dc.identifierhttps://doi.org/10.59779/jiomnepal.1378
dc.identifier.urihttps://hdl.handle.net/20.500.14572/3008
dc.language.isoen_US
dc.publisherInstitute of Medicine, Tribhuvan University
dc.subjectEndometrial biopsy
dc.subjecthistopathology
dc.subjectperimenopausal bleeding
dc.subjectpostmenopausal bleeding
dc.subjectuterine bleeding
dc.titleClinical and Endometrial Histopathological Profile of Women with Perimenopausal and Postmenopausal Bleeding
dc.typeArticle
dspace.entity.typePublication
local.article.typeOriginal Article
oaire.citation.endPage26
oaire.citation.startPage22
relation.isJournalIssueOfPublication36785908-a57b-42f4-961a-9168ac067265
relation.isJournalIssueOfPublication.latestForDiscovery36785908-a57b-42f4-961a-9168ac067265
relation.isJournalOfPublicationa9ba45d9-ee33-4a6b-b1fc-6626b87eec6c

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