DOI: 10.36347/sjams.2014.v02i06.092

Pages: 3320-3323

The objective was to study adenomyosis and leiomyoma as the cause of abnormal uterine bleeding in hysterectomy specimens. This was a retrospective study carried out on 218 hysterectomy specimens of subjects who presented to the department of obstetrics and gynaecology at SMS & R, Sharda University with the complaint of abnormal uterine bleeding not responding to conservative treatment from January 2011 to December 2013. Data including age, symptoms and clinical indication for hysterectomy was collected for the study. These women were evaluated and clinical,ultrasonographic and histopathological finding were correlated. Women in the perimenopausal age (41-50 years) accounted for the highest number of cases (52.71%) presenting with symptoms of AUB. In this age group adenomyosis was the found to be the commonest cause of AUB (52.9%). The most common symptom was heavy menstrual bleeding (77.5%) followed by dysmenorrhea(35.6%). Adenomyosis was clinically suspected in 119 cases of which 96 cases were confirmed on histopathology. Fibroid was clinically diagnosed in 99 cases and confirmed in 91 cases histologically .Clinical, radiological and pathological evaluation correlated well to diagnose fibroid but were not of as much help to diagnose adenomyosis. Adenomyosis was found to be the most common cause of abnormal uterine bleeding in possibility of these lesion women of perimenopausal age group. Adenomyosis still remains a clinical challenge. So has to be kept in mind by both clinician, as well as pathologist in women with AUB.