Validation of endometrial curettage in abnormal uterine bleeding in a teaching institute of central India: A prospective study

Abnormal uterine bleeding (AUB) is one of the common reasons for female patients to consult a gynecologist. AUB include bleeding from structural causes like polyps, endometrial hyperplasia, chronic endometritis, proliferative endometrium, fibroids, carcinoma and pregnancy related complication and dysfunctional uterine bleeding.

A prospective study done in one year duration among 210 patients of 20–70 years age group. A tissue sample is taken after endometrial curettage and examined by a pathologist for various lesions.

Largest number of AUB patients were about 31–40 years age group. The most common cause of AUB is endometrial hyperplasia. AUB is found in more multiparous women and menorhhagia is a most common bleeding pattern.

Endometrial curettage is a sensitive tool for AUB diagnosis. Very little pathology can escape this investigating tool. It also avoids unnecessary hysterectomy.