Hysteroscopic Study in Cases of Peri-menopausal Bleeding and its Correlation with Obesity

Abstract

Introduction: An abnormal uterine bleeding condition accounts for one-third of all gynaecological consultations (AUB). Both diagnostic and straightforward surgical hysteroscopies can typically be performed in an office environment. Hysteroscopic surgery can be carried out without the use of anaesthetic or analgesia. Obesity has long been recognised as a major risk factor for the onset of many chronic illnesses, including heart disease, hypertension, type 2 diabetes, stroke, osteoarthritis, and some types of cancer, as well as abnormal uterine bleeding including endometrial cancer, polycystic ovary dysfunctional uterine bleeding.Materials and Methods: The study included 120 cases undergoing hysteroscopic examination and icrrelation of finding to obesity.Results: We found that the correlation between complaint and BMI was as follow: Menorrhagia, polymenorrhagia, metromenorrhagia and premenstrual spots were significant complaint in obese women, while polymenorrhagia was higher but insignificant statically. Fibroid, endometrial polyp, unknown (DUB) and malignancy were significant findings in obese women.endometrial thickness (1-4.9 mm), (10-14.9 mm), (15-19.9 mm) and (more than 20mm) were significant in obese women, while endometrial thickness (5-9.9 mm) was higher but insignificant statically. Simple hyperplasia without atypia, complex hyperplasia without atypia, complex hyperplasia with atypia, atrophic changes and carcinoma were significant in the obese patients, while proliferative, secretory and disorder proliferation were higher in obese patients but insignificant statically.Conclusion: Obesity is strong predisposing factor for abnormal uterine bleeding as there is strong relation between obesity and abnormal uterine bleeding as approved by our study.