Endometrial Pathology by Endometrial Curettage in Menorrhagia in Premenopausal Age Group Background

Aim: To find out the endometrial pathology by endometrial curettage in patients having menorrhagia in premenopausal age group Methods: This is a prospective descriptive study conducted in Nawaz Sharif Social Security Hospital Lahore, in gynecology and obstetrics department from January 2013 to June 2013. During this study 35 patients with menorrhagia in age group 35 to 50 years were selected after fulfilling the inclusion criteria. Patients were selected from gynecologyout patient department, Performa was designed which included detailed history, examination and ultrasonography. Patients were admitted and diagnostic dilatation and curettage done, endometrial sample was taken and sent for histopathology department to find out the endometrial pathology Results: The selected patients of my study with menorrhagia were in the age range of 35 to 50 years. The analysis of histopathology report of endometrial curetting showed proliferative phase endometrium in 46%, cystic hyperplasia in 12% and in six percent of cases endometrial carcinoma. Proliferative endometrium was found in less than 40 years of age group cystic hyperplasia and endometria carcinoma was found in women aged more than 40 years. Conclusion: All the patients having menorrhagia above 40 years should be screened for any endometrial pathology by endometrial curettage which can be done blindly (D&C, pipel) or hysteroscopically guided. Accurate analysis of endometrial sampling is the key to effective therapy and optimal outcome.