EXTENSIVE CLINICAL INVESTIGATION AND ANALYSIS OF POST-MENOPAUSAL BLEEDING EXCLUDING CARCINOMA

Abstract

Background and Objectives- Menopause is the term used to describe the irreversible end of menstruation brought on by ovarian activity decline. The menopause typically lasts from 45 to 50 years of age. to assess and determine the frequency of different post-menopausal bleeding sources, omitting cancer.

Methods- Prospective study done over a period of six months from July 2023 to December 2023 and total of 60 cases were included in the study. The study was conducted on all postmenopausal women with bleeding registered to Obstetrics and Gynaecology out- patient department of Government Medical College, Datia (M.P.) who fulfilled the inclusion criteria, with abnormal uterine bleeding who attained menopause naturally, history and clinical examination were included. Women who were diagnosed carcinoma cervix were excluded.

Results- Most of the patients belonged to age group between 55-59 years comprising 50%, followed by 60-64 years 25%. Eight percent belonged to 50-54 years and 65-69 years and 6% belonged to 45-49 years. Patients are classified on the basis of onset of menopause and 50-54 years were found to be most common age group comprising 50%, followed by 55-59 years 22%. Among the 45-49 years 17% had onset of menopause. This study comprised sixty cases of vaginally bleeding post-menopausal women, and a comprehensive analysis was conducted to determine the frequency of different causes of vaginal bleeding. The duration of menopausal bleeding in the current study ranges from less than a year to more than five years. Fifty percent of the women experienced postmenopausal hemorrhage during the first three years. The majority of them reported experiencing vaginal bleeding.

Conclusion- Individuals who are bleeding after menopause should also be closely watched for a long time. Women's death and morbidity rates are clearly reduced when hyperplasia, cervical, and endometrial malignancies are detected and treated early. These conditions also have excellent survival rates.