In perimenopausal women as most of the menstrual cycles are anovulatory. After menopause, progesterone production ceases but peripheral conversion of adrenal and ovarian androgen to estrogen continues with cessation of ovarian function. Estradiol level may be as high as 100 pg/ml. Endometrium is exposed to progesterone deprived, unopposed high level of estrogen. After selecting the patients who fulfill the eligibility criteria by clinical history, obstetrical and gynecological history taken and detail clinical examination and Per speculum examination was performed to note any abnormal discharge, erosion, cervical hypertrophy or cervical polyp and vaginal examination done to know uterine, cervical and adnexal pathology. Laboratory investigations including CBC, coagulation profile, random blood sugar, liver and kidney function and pregnancy test done. Commonly observed symptoms were as follows: dysmenorrhea 58.8%, 18.5%, giddiness 15.4%, breathlessness 10.8%, backache 7.7%, prolapse 7.7%, weakness 6.2% and white discharge 4.6%. Per speculum examination revealed that cervical erosions in 25 patients i.e. 29.4%, cervical hypertrophy in 22 women i.e. 25.9%, chronic cervicitis in 15patients i.e. 17.6% and polyps in 7 women i.e. 8.2%.
B.N. Rajesh, M.H. Chandana, B. Vijaylakshmi and K. Chandrashekar. Profile of Perimenopausal Women with Abnormal Uterine Bleeding Undergoing Hysteroscopic Guided Biopsy under IV Sedation.
DOI: https://doi.org/10.36478/10.36478/makrjms.2024.8.34.38
URL: https://www.makhillpublications.co/view-article/1815-9346/10.36478/makrjms.2024.8.34.38