Evaluation of Endometrium with Sonographic and Histopathological Correlation in Perimenopausal Women with Dysfunctional Uterine Bleeding

Introduction Dysfunctional uterine bleeding is a major gynaecological problem in the perimenopausal women. Aim& Objectives The study was aimed to correlate the clinical findings with sonographic assessment and histopathology of the endometrium in perimenopausal women with DUB. Materials& Methods This was a prospective study conducted on 100 patients in the department of Obstetrics and Gynaecology, Gauhati medical college and hospital from 1st August, 2016 to 31st July, 2017. TVS was performed in all these women followed by D& C and HPE of the endometrial curettings. Results In the study, menorrhagia, was the most common menstrual complaint. Histopathological examination of the endometrium curettings revealed 29 % patients to have proliferative endometrium, and 23 % of the patient to have endometrial hyperplasia. When endometrial thickness was less than 8 mm, no cases showed endometrial hyperplasia. Conclusion This study showed that in perimenopausal women with DUB, the first investigation should be transvaginal sonogram. The primary indication for D& C should be in cases with endometrial thickness 8 mm.