Endometrial Biopsy: Need of Present Time in the Management of Abnormal Uterine Bleeding

Introduction: Abnormal uterine bleeding (AUB) refers to symptoms of excessive, scanty, prolonged, cyclic, acyclic bleeding regardless of diagnosis, or cause. In MCSG, SMS Jaipur., AUB accounts for approximately 20% of complaints of gynecology outpatient department (OPD) attendance. In this study, we have attempted to analyze endometrial patterns in cases of AUB and to correlate the histopathology with clinical parameters and age groups. Materials and Methods: This study is a hospital-based prospective study done on 214 patients of AUB attending obstetrics and gynaecology OPD from a period of August 2017 to August 2018. Endometrial biopsy was taken with the help of Pipelle biopsy curette. Statistical analysis was done using Epi info 7. Mean frequency was used to elaborate the data. Results: Maximum 125 patients belonged to reproductive age group followed by 65 in perimenopausal and 24 in postmenopausal age group. The most common pattern of bleeding was menorrhagia (52.3%), followed by menometrorrhagia (17.29%), metrorrhagia (13.08%), postmenopausal bleeding (11.21%), premenstrual spotting (3.27%), and last was oligomenorrhea (2.8%) Maximum 41.1% showed secretory phase followed proliferative phase in 20% and 4.21% showed atrophic endometrium. Among abnormal findings, maximum were disordered proliferative endometrium (10.28%) followed by pill endometrium (7.01%). Conclusion: Endometrial biopsy is an simple and inexpensive procedure which should be used as a first line procedure, thereby minimizing need of other costly and complicated procedures.