Histopathological Evaluation of Excessive Uterine Bleeding of Reproductive Age Group in Hysterectomy Specimens

Abstract

Objective: Determine the frequencies of uterine pathologies in women of reproductive age group presenting
with excessive uterine bleeding.
Material and Methods: This study was conducted in the histopathology section of the Department of
Pathology at Ayub Medical College Abbottabad. This was a descriptive study of 100 hysterectomy specimens
removed for excessive uterine bleeding received in the department over a period of six months. All the specimens
belonging to patients of reproductive age group (30-50 years) with excessive uterine bleeding were included in
this study. The data recorded from the specimen request forms included the patients’ clinical presentation,
reproductive history and history of hormone intake. All the specimens were received in ten-percent formalin and
were examined grossly. Multiple sections 3-5 microns thick were taken, stained with haematoxylin and eosin and
examined under Olympus Microscope CX23.
Result: The most common uterine lesions associated with excessive uterine bleeding were leiomyoma (43%) and
adenomyosis (24%).
Conclusion: As leiomyoma is the most common lesion found in the uterus of the patients in which
hysterectomy is done for excessive uterine bleeding; this is a treatable cause. As most females are in child bearing
age so female of child bearing age should be investigated thoroughly before considering hysterectomy