E-ISSN 2231-3206 | ISSN 2320-4672
 

Original Research 


Medical management of abnormal uterine bleeding in a tertiary care hospital – A cross-sectional study

Kavya B S, Kavitha Rajarathna, Geetha Shivamurthy.

Abstract
Background: Abnormal uterine bleeding (AUB) is a common gynecological disorder among women of reproductive age, interfering with their day-to-day activity. A better understanding of commonly used drugs in the medical management reduces the need of unnecessary surgical procedures and benefits both the patient and health-care
providers.

Aims and Objectives: This study aims to study the patient characteristics and prescription pattern in the medical management of AUB and to assess the menstrual blood loss by pictorial blood loss assessment chart (PBAC) and the association between different treatment groups with PBAC score.

Materials and Methods: A cross-sectional study was conducted at gynecology OPD, Vanivilas Hospital, Bangalore Medical College and Research Institute, Bengaluru, from January 2019 to January 2020 with approval from the Institutional Ethics Committee, BMCRI, Bengaluru. A total of 200 AUB patients on medical treatment were included for the study, demographic data and relevant data on drug prescription were recorded in the case record form. Menstrual blood loss was assessed using PBAC. Association between PBAC score and different medical treatment groups was determined.

Results: AUB was observed mostly in the age group of 21–30 years (35.5%), multiparous women (69.5%) were at higher risk of developing AUB, ovulatory dysfunction (44.5%) was the common cause of AUB in reproductive age group. Medical management included hormonal (36.3%), non-hormonal (21%), combined (9.3%), and concomitant medications (33.4%). Median of PBAC score was 75. There was no significant association among different treatment groups and PBAC score.

Conclusion: Majority of AUB patients received hormonal treatment had functional causes with normal PBAC score. This study gives an overview of medical management of AUB in a tertiary care hospital.

Key words: Abnormal uterine bleeding; Hormonal; Non-hormonal; PALM-COEIN, Pictorial blood loss assessment chart


 
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How to Cite this Article
Pubmed Style

S KB, Rajarathna K, Shivamurthy G. Medical management of abnormal uterine bleeding in a tertiary care hospital – A cross-sectional study. Natl J Physiol Pharm Pharmacol. 2022; 12(12): 2050-2054. doi:10.5455/njppp.2022.12.04166202214042022


Web Style

S KB, Rajarathna K, Shivamurthy G. Medical management of abnormal uterine bleeding in a tertiary care hospital – A cross-sectional study. https://www.njppp.com/?mno=14913 [Access: February 01, 2023]. doi:10.5455/njppp.2022.12.04166202214042022


AMA (American Medical Association) Style

S KB, Rajarathna K, Shivamurthy G. Medical management of abnormal uterine bleeding in a tertiary care hospital – A cross-sectional study. Natl J Physiol Pharm Pharmacol. 2022; 12(12): 2050-2054. doi:10.5455/njppp.2022.12.04166202214042022



Vancouver/ICMJE Style

S KB, Rajarathna K, Shivamurthy G. Medical management of abnormal uterine bleeding in a tertiary care hospital – A cross-sectional study. Natl J Physiol Pharm Pharmacol. (2022), [cited February 01, 2023]; 12(12): 2050-2054. doi:10.5455/njppp.2022.12.04166202214042022



Harvard Style

S, K. B., Rajarathna, . K. & Shivamurthy, . G. (2022) Medical management of abnormal uterine bleeding in a tertiary care hospital – A cross-sectional study. Natl J Physiol Pharm Pharmacol, 12 (12), 2050-2054. doi:10.5455/njppp.2022.12.04166202214042022



Turabian Style

S, Kavya B, Kavitha Rajarathna, and Geetha Shivamurthy. 2022. Medical management of abnormal uterine bleeding in a tertiary care hospital – A cross-sectional study. National Journal of Physiology, Pharmacy and Pharmacology, 12 (12), 2050-2054. doi:10.5455/njppp.2022.12.04166202214042022



Chicago Style

S, Kavya B, Kavitha Rajarathna, and Geetha Shivamurthy. "Medical management of abnormal uterine bleeding in a tertiary care hospital – A cross-sectional study." National Journal of Physiology, Pharmacy and Pharmacology 12 (2022), 2050-2054. doi:10.5455/njppp.2022.12.04166202214042022



MLA (The Modern Language Association) Style

S, Kavya B, Kavitha Rajarathna, and Geetha Shivamurthy. "Medical management of abnormal uterine bleeding in a tertiary care hospital – A cross-sectional study." National Journal of Physiology, Pharmacy and Pharmacology 12.12 (2022), 2050-2054. Print. doi:10.5455/njppp.2022.12.04166202214042022



APA (American Psychological Association) Style

S, K. B., Rajarathna, . K. & Shivamurthy, . G. (2022) Medical management of abnormal uterine bleeding in a tertiary care hospital – A cross-sectional study. National Journal of Physiology, Pharmacy and Pharmacology, 12 (12), 2050-2054. doi:10.5455/njppp.2022.12.04166202214042022