Postmenopausal bleeding (Pmb) and benign conditions Study in rural
By A Mystery Man Writer
Description
Detailed history Assessment of risk factors Full clinical examination Investigations: Routine Pap smear Appropriate biopsy Smear Cytology TVS HSG combined with TVS Saline sono-hysterography CT MRI (as required)
Postmenopausal bleeding (Pmb) and benign conditions Study in rural belt of India
Benign conditions though most frequent and can cause considerable distress. Study: In Gynecology department, RIMS, a rural based tertiary center (Jan’10-July’12) patients, 1200 Pmb. Aim To exclude malignancy To confirm diagnosis To treat accordingly.
Para<=5: 513 (57 %) Low SES: 700 (78%) No circumcision: 555 (61.66%) belonging to Hindu community
50-54 yrsEndometrial (Em) yrs Endometrial (Em)
300(25%) in present study had malignant lesions. Community education, mass screening, regular follow up, timely intervention is necessary even with slight bleeding. Em. Thickness >4mm, bulky uterus considered malignant unless until proved..
QUESTIONS Thank you Dr Gopa Chowdhury Asstt. Prof, RIMS, Ranchi INDIA
Postmenopausal bleeding (Pmb) and benign conditions Study in rural belt of India
Benign conditions though most frequent and can cause considerable distress. Study: In Gynecology department, RIMS, a rural based tertiary center (Jan’10-July’12) patients, 1200 Pmb. Aim To exclude malignancy To confirm diagnosis To treat accordingly.
Para<=5: 513 (57 %) Low SES: 700 (78%) No circumcision: 555 (61.66%) belonging to Hindu community
50-54 yrsEndometrial (Em) yrs Endometrial (Em)
300(25%) in present study had malignant lesions. Community education, mass screening, regular follow up, timely intervention is necessary even with slight bleeding. Em. Thickness >4mm, bulky uterus considered malignant unless until proved..
QUESTIONS Thank you Dr Gopa Chowdhury Asstt. Prof, RIMS, Ranchi INDIA
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