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- Title
Ultrasonography Based Study of Endometrial Thickness as a Guideline for the Treatment of Dysfunctional Uterine Bleeding in Pre-Menopausal Kashmiri Women.
- Authors
Kausar, Zeenat; Bhat, Ghulam Mohamad; Bashir, Khalid
- Abstract
Background: Dysfunctional uterine bleeding (DUB) is a common gynecological problem in women during reproductive life taking a substantial economic toll apart from intangible social and psychological brunt. Objectives: 1 Estimate whether endometrial thickness (ET) can be used as a predictor of the type of treatment in the study population with symptoms of DUB.2. To determine the response of endometrial thickness to medical treatment and symptom regression on ultrasonography. Methods: This was a Prospective study on patients with diagnosed, dysfunctional uterine bleeding, in the Department of Obstetrics and Gynecology. ET of all DUB patients was measured at baseline and the outcome of different treatment modalities was observed and the effect on ET after 3 months of treatment was observed by doing repeat Ultrasonography. Results: A total of 250 patients were included. There was a statistically significant relationship between the treatment modality and outcome over all levels of ET (p<0.001). DNC alone showed the lowest success rate for all levels of ET. DNC with Levonorgestrel(IUD) had 100% success rate. Medical treatment showed a very high success rate (97.5%) in the ET range 8mm to 9.9mm group but the success rate decreased at higher levels of ET (ET10 to11.9 group success rate =50%). Conclusion: Medical treatment remains the treatment of choice in DUB patients with levels of endometrial thickness in the range of (8mm-9.9mm). The DNC with Levonorgestrel(IUD) provides highly efficacious option in the treatment of DUB patients which is reversible and spares fertility, unlike hysterectomies.
- Subjects
UTERINE hemorrhage; METRORRHAGIA; INTRAUTERINE contraceptives; ULTRASONIC imaging; THERAPEUTICS
- Publication
JK Practitioner, 2022, Vol 27, Issue 4, p30
- ISSN
0971-8834
- Publication type
Article