Bulky Uterus and Multiparity are Important Contributing Factors for Dysfunctional Uterine Bleeding among Bangladeshi Women

Nahid Sultana, Nasima Akhter, TA Chowdhury
2016 Journal of Enam Medical College  
<p><strong>Background</strong>: Dysfunctional uterine bleeding (DUB) is irregular uterine bleeding that occurs in the absence of recognizable pelvic pathology, general medical disease, or pregnancy. It reflects a disruption in the normal cyclic pattern of ovulatory hormonal stimulation to the endometrial lining. About 1–2% of women with improperly managed anovulatory bleeding eventually may develop endometrial cancer but determinants behind the disease are largely
more » ... ><p><strong>Objective</strong>: The present study aimed to find out the determinants of dysfunctional uterine bleeding.</p><p><strong>Materials and Methods</strong>: In this cross-sectional study 50 patients of dysfunctional uterine bleeding (DUB) were recruited from different tertiary hospitals in Dhaka city. Clinical parameters have been recorded using a predesigned questionnaire and analyzed using SPSS for Windows version 16.0 and Microsoft Office Excel.</p><p><strong>Results</strong>: In the studied patients, about 38% were suffering from type 2 diabetes mellitus, 12% from obesity and 18% from hypertension. Almost all the patients (96%) were suffering from anemia. Histological findings have shown that endometrium of 63% patients were in proliferative phase, about 16% were in secretory phase and 11% patients were with cystic hyperplasia. Ultrasonographic results have shown that about 72% of the patients had bulky uterus. Ninety two percent patients carried more than two pregnancies, and 40% patients carried &gt;5 pregnancies.</p><p><strong>Conclusion</strong>: Bulky uterus and multiple pregnancies may be associated with dysfunctional uterine bleeding in Bangladeshi women.</p><p>J Enam Med Col 2016; 6(1): 23-27</p>
doi:10.3329/jemc.v6i1.26376 fatcat:foaz6n4m7bamjnsyznw6menks4