TITLE:
Pattern of Presentation and Associated Morbidities of Women Presenting with Postmenopausal Bleeding
AUTHORS:
Johnbosco E. Mamah, Kanario A. Onyebuchi, Robinson C. Onoh, Love Okafor, Zubaida Aliyu
KEYWORDS:
Endometrial Cancer, Postmenopausal Bleeding
JOURNAL NAME:
Open Journal of Obstetrics and Gynecology,
Vol.10 No.11,
November
27,
2020
ABSTRACT: Background: Postmenopausal bleeding (PMB) is caused mainly by benign disorders;
however it is sometimes caused by endometrial cancer. Aim: We here
attempted to determine what conditions account for PMB in an outpatient clinic
of a University hospital in London. Methodology: Study subjects
consisted of 179 patients with PMB who were referred to us from July to
December 2019. Sociodemographic data including patient’s age, risk factors,
diagnosis and management were reviewed. Underlying conditions where determined. Results: Of 179 subjects, the following findings were made: 1) Age 59.63
± 8.3 (mean and standard deviation). 2) Parity; multiparity, 57.0% (mean ±
1.67). 3) First episode of PMB, 77.1%. 4) The most frequently observed risk
factor; obesity 34.6%. 5) The following accounted for PMB (diagnosis in order
of incidence rate); genital atrophy 37.4%, submucosal fibroid 28.5%,
endometrial polyp 20.7%, endometrial hyperplasia 6.7%, and endometrial cancer
5.6%. All patients were treated appropriately. We did not determine the
prognosis of patients with endometrial cancer. Conclusion: Although the
incidence of rate among women with PMB has already been reported, its
reconfirmation in a single facility is important for making policies in the
treatment of PMB.