Histopathological findings in hysteroctomized sample of women with abnormal uterine bleeding attending Al- Batool Maternity Teaching Hospital-Baquba-Iraq

Abstract

Background: Abnormal uterine bleeding considered as one of the most common and challenging problems presenting to the gynecologist; it is responsible for a lot of outpatient gynecologic visits.

Objective: To identify histopathological pattern in hysteroctomized sample of women with abnormal uterine bleeding .

Patients and Methods: Descriptive  study was carried out in the Department of Obstetrics and Gynecology in Al-Batool Teaching Hospital in Baquba City, during the period from 15th  July 2015 to 14th December 2015. A total of thirty three women presenting with abnormal uterine bleeding who was admitted for  total abdominal hysterectomy during the study period. Prepared paper of questionnaire used for patient including full history and examination. Specimens of uterus and adnexa after hysterectomy were sent for histopathalogical study by specialist histopathologist.

Results: In this study highest percentage of abnormal uterine bleeding  was with age group  46-55years (51.51%), and the lowest  percentage with age group 76-85years (3.03%). grandmultiparous had higher percentage (60.61%) while  low parity had lowest percentage (9.09%). Fibroid was the most common histopathological findings (42.42%)  and  the lowest percentage with secretary bleeding (3.03%). The histopathological findings varied with age   and parity in hysterectomized specimens and samples.

Conclusion: Fibroid constitute the majority of cases that attend our hospital for hysterectomy followed by proliferative endometrium so all patient with abnormal uterine bleeding should be evaluated for underlying structural causes