DOI: 10.36347/sjams.2019.v07i12.026

Pages: 3956-3959

Menstrual disorders, including heavy menstrual bleeding are a common complaint among women in the reproductive age group. Due to the inconsistency in the nomenclature used to describe AUB, a new classification system for causes of AUB in the reproductive years was developed which was formally accepted by Federation of Gynaecology and Obstetrics (FIGO). This system is based on the acronym PALM-COEIN (polyps, adenomyosis, leiomyoma, malignancy and hyperplasia – coagulopathy, ovulatory disorder, and endometrial causes, iatrogenic, non-classified). Though hysterectomy is still the widely accepted and practiced treatment of choice, it can be minimized using this classification system. To assess the frequency of causes (single or multiple) of Abnormal Uterine Bleeding (AUB) in hysterectomy specimens in low resource setting, a retrospective was undertaken at a tertiary care hospital.30 cases admitted to the gynaecology ward who required hysterectomy for AUB were included in the study. The clinical diagnoses were correlated with the HP findings in accordance with the PALM-COEIN classification system. The commonest indication for hysterectomy was found to be AUB-L (53.3 %) followed by AUB-O (20 %). The commonest histopathological diagnosis was leiomyoma (46 %) followed by adenomyosis (36.5 %).