title: A study of endometrium of patients with abnormal uterine bleeding at Chitwan Valley.
abstract: OBJECTIVE
  To know the causes for the abnormal uterine bleeding in Women at Chitwan Valley and to compare the histopathological findings between the pre-menopausal and postmenopausal women.
  
  
  METHODS
  A descriptive study of patients who have had vaginal bleeding during the period from January 2000 to July 2002.
  
  
  METHODS
  Department of Gynaecological Oncology of BP Koirala Memorial Cancer Hospital (BPKMCH), Chitwan, Nepal.
  
  
  METHODS
  Eighty-four women (aged 45 year and above) having abnormal vaginal bleeding managed at BPKMCH.
  
  
  METHODS
  Various characteristics of the patients including age, menopausal status, histopathological findings.
  
  
  RESULTS
  A total of eighty-four patients were studied. Majority (53.5%) of them were postmenopausal ladies presenting with abnormal vaginal bleeding. The age range was 45 to 81 years, with an average of 63. Only 37% had pathological bleeding including malignancy and about 16.6% of all had malignancies. Malignant diseases were found in 7.7% cases in the pre-menopausal ladies whereas it was 24.3%, three times higher, in the post-menopausal ladies.
  
  
  CONCLUSIONS
  Carcinoma of the cervix and of the endometrium occurred with increasing frequency with increasing age in this study. So, a thorough work-up is needed for the perimenopausal/postmenopausal women presenting with an abnormal vaginal bleeding especially to rule out malignancies.
authors.affiliation: Department of Obstetrics and Gynaecology, Kathmandu University Medical School, Banepa. gareshma@hotmail.com
authors.forename: G
authors.initials: G
authors.lastname: Dangal
mesh_terms: D000368:Aged; D004717:Endometrium / Q000473:pathology*; D005260:Female; D006801:Humans; D008875:Middle Aged; D009390:Nepal; D047648:Perimenopause; D017698:Postmenopause; D014591:Uterine Diseases / Q000175:diagnosis / Q000473:pathology*; D014592:Uterine Hemorrhage / Q000209:etiology / Q000473:pathology*