Гинекология (Apr 2018)

Etiological structure and diagnosis of abnormal uterine bleeding

  • G E Chernukha,
  • I A Ivanov,
  • Z N Efendieva,
  • M R Dumanovskaya,
  • A V Asaturova

DOI
https://doi.org/10.26442/2079-5696_2018.2.14-18
Journal volume & issue
Vol. 20, no. 2
pp. 14 – 17

Abstract

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Abnormal uterine bleeding (AUB) is one of the most common indications for hysteroscopy. Most of the AUB cases occur due to endometrial or myometrium pathology. Among it, endometrial polyps (EP) and chronic endometritis (CE) prevalent in reproductive age, while endometrial hyperplasia (EH) and EP dominate in perimenopause. It was determined that EP and CE are characterized with menorrhagia and metrorrhagia approximately equally, whereas EH reveals AUB with oligomenorrhoea. Verification of exact endometrial pathology by ultrasound examination is hindered, that results in deviations of ultrasound and histological diagnosis. The usage of ultrasound data and AUB’s characteristics may improve the diagnostic accuracy on preadmission period.

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