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Correlation of Histopathological Findings and Ultrasound Findings in women with abnormal uterine bleeding | ||
| The Medical Journal of Basrah University | ||
| Article 4, Volume 44, Issue 1, July 2026, Pages 24-31 PDF (192.09 K) | ||
| Document Type: Research Paper | ||
| DOI: 10.33762/mjbu.2026.168655.1344 | ||
| Authors | ||
| Israa Jubair Salih* 1; غفران السريح2 | ||
| 1MBChB. Basrah Health Directorate | ||
| 2Department of Obstetrics and Gynaecology/College of Medicine/University of Basrah | ||
| Abstract | ||
| Abstract Background: Menstruation is triggered by progesterone withdrawal after corpus luteum regression, leading to endometrial shedding. Heavy menstrual bleeding affects up to 30% of women, impairing quality of life. Management of acute abnormal uterine bleeding involves stabilizing patients, medical or surgical interventions, and prognosis depends on the underlying cause and quality-of-life impact. Objectives: To study the correlation between ultrasound findings and histopathological findings in women who suffer from heavy menstrual bleeding. Methods: A descriptive cross-sectional study conducted at AL Mawanee hospital from the first of October 2024 till the first of May 2025 included 80 women (45–55 years) with heavy menstrual bleeding, assessing ultrasound and histopathology correlations, excluding malignancy, hormonal, and bleeding disorders. Results: In this study of 80 women (mean age 49 ± 7.2 years), most were multiparous (83.7%) and housewives (72.5%). Menorrhagia (52.5%) was the commonest presenting symptom. Ultrasound revealed fibroids (27.5%), thickened endometrium (22.5%). Histopathology showed proliferative endometrium (17.5%), hyperplasia without atypia (12.5%), with atypia (7.5%), carcinoma (6.25%), atrophy (13.7%), and leiomyoma (15%). Significant correlations existed between endometrial thickness ≥20 mm and premalignant/malignant lesions (p<0.001). Conclusions: Menorrhagia is commonly linked to benign uterine conditions, though some cases involve premalignant or malignant pathology. Ultrasound aids initial assessment, but histopathology remains the diagnostic gold standard. Combining both improves accuracy, management decisions, and reduces missed diagnoses. | ||
| Keywords | ||
| Keywords: Correlation; Histopathological Findings; Ultrasound; Menorrhagia | ||
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