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

Authors

  • Nahid Sultana Assistant Professor, Department of Gynecology and Obstetrics, Bangladesh Institute of Research and Rehabilitation in Diabetes, Endocrine and Metabolic Disorders-2 (BIRDEM-2) General Hospital, Dhaka
  • Nasima Akhter Senior Medical Officer, Department of Gynecology and Obstetrics, BIRDEM-2 General Hospital, Dhaka
  • TA Chowdhury Professor, Department of Gynecology and Obstetrics, BIRDEM-2 General Hospital, Dhaka

DOI:

https://doi.org/10.3329/jemc.v6i1.26376

Keywords:

Dysfunctional uterine bleeding, Bulky uterus, Multiparity

Abstract

Background: 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 12% of women with improperly managed anovulatory bleeding eventually may develop endometrial cancer but determinants behind the disease are largely unknown.

Objective: The present study aimed to find out the determinants of dysfunctional uterine bleeding.

Materials and Methods: 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.

Results: 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 >5 pregnancies.

Conclusion: Bulky uterus and multiple pregnancies may be associated with dysfunctional uterine bleeding in Bangladeshi women.

J Enam Med Col 2016; 6(1): 23-27

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Author Biography

Nahid Sultana, Assistant Professor, Department of Gynecology and Obstetrics, Bangladesh Institute of Research and Rehabilitation in Diabetes, Endocrine and Metabolic Disorders-2 (BIRDEM-2) General Hospital, Dhaka



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Published

2016-02-09

How to Cite

Sultana, N., Akhter, N., & Chowdhury, T. (2016). Bulky Uterus and Multiparity are Important Contributing Factors for Dysfunctional Uterine Bleeding among Bangladeshi Women. Journal of Enam Medical College, 6(1), 23–27. https://doi.org/10.3329/jemc.v6i1.26376

Issue

Vol. 6 No. 1 (2016)

Section

Original Articles

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