To Determine the Frequency of Endometrial Polyps in Patients Presenting with Irregular per Vaginal Bleeding

Author(s): Anum Malik, Laila Zeb

Introduction: Endometrial polyp is a focal hyperplastic growth of endometrial glands and stroma and is commonly benign lesion, which can rarely become malignant. Abnormal Uterine Bleeding (AUB) is the commonest presentation in the reproductive age group as well as postmenopausal age group.

Objective: To determine the frequency of endometrial polyps in patients presenting with irregular per vaginal bleeding. This Descriptive Cross-Sectional Study was conducted at Department of Obstetrics and Gynecology, Khyber Teaching Hospital Peshawar for a Period of 6 Months From 1st January 2021 till 30th June 2021.

Material & Methods: Total of 249 patients were observed in this study. In women with abnormal uterine bleeding or in women in whom the endometrium was abnormally thick (>4 mm), as determined by routine vaginal sonography, a diagnostic outpatient hysteroscopy was performed with a Gynaecare, Ethicon, and disposable 3 mm hysteroscope with 30o. The hysteroscope was gently introduced through the cervix into the uterine cavity. Normal saline was used to distend the uterine cavity. Hysteroscopy was considered successful if an adequate view over the whole uterine cavity was obtained. A Pipelle device was used to obtain tissue for histology.

Results: In this study mean age was 33 years with SD± 9.749. Fifteen percent patients were primi para while 85% patients were multi para. More over 30% patients had endometrial polyp and 70% patients didn’t have endometrial polyp.

Conclusion: Our study concludes that the frequency of endometrial polyps was 30% in patients presenting with irregular per vaginal bleeding.