DOI: 10.36347/sjams.2013.v01i06.0111

Pages: 1191-1195

Background: Anemia remains a significant public health problem among women with dysfunctional uterine bleeding (DUB), resulting in adverse health outcomes. This data helps understand the condition's seriousness and prevalence for early intervention. This study evaluated anemia in patients with DUB for prevalence, severity, and relation to menstrual blood loss and iron status. Methods: This cross-sectional observational study was conducted from January 2010 to December 2011 at the Department of Obstetrics and Gynecology, Bangabandhu Sheikh Mujib Medical University (BSMMU), Dhaka, Bangladesh, among 120 women diagnosed with DUB. Serum hemoglobin, ferritin, iron, and total iron-binding capacity (TIBC) were assessed. A pictorial blood assessment chart (PBAC) estimated menstrual blood loss. Statistical analyses were done by SPSS (version 21.0). Results: Anemia was found in 82.5% of participants, with moderate anemia (38.3%) being the most common, followed by mild (28.3%) and severe anemia (15.8%). Patients with excessive menstrual blood loss (>150 mL) had significantly lower hemoglobin, serum ferritin, and serum iron levels, which inversely correlated with anemia severity. TIBC was elevated in severely anemic women (352.8 ± 21.5 µg/dL), indicating increased iron requirement. Conclusion: Women with DUB Exhibit High Prevalence of Anemia: A Descriptive Study. Importance: There is a high prevalence of anemia in women with dysfunctional uterine bleeding (DUB). Strategies including early identification, pharmacy management and menstrual regulation will improve reproductive health outcomes.