Abnormal uterine bleeding causes significant health care burden on women, their families and society as a whole. There is a large population presenting with abnormal uterine bleeding due to uterine fibroids and polycystic ovarian disease. To evaluate the causes, risk factors and management of abnormal uterine bleeding (AUB) in south Indian tertiary care hospital setting single centered, prospective and retrospective observational study was conducted for a period of 6 months. The study was done by identifying patients with AUB due to uterine fibroids and poly cystic ovarian disease (PCOD). There were 62% cases due to fibroids and 38% cases were due to poly cystic ovarian disease. Incidence of fibroids was found to be more in 40-50 years age group. The main risk factors identified in the patient population with fibroids were age>40, BMI>25kg/m² and nulliparity. Out of all fibroid patients, 76% patients underwent non-pharmacological therapy and 24% received pharmacological therapy. The incidence of poly cystic ovarian disease was more in 20-30 years age group. Around 94% patients were found to be overweight. Overweight was observed to be main risk factor for patients with poly cystic ovarian disease. Uterine fibroids were found to be major cause of abnormal uterine bleeding. The prevalence of fibroids was more in the age group of 40-50 years and that of poly cystic ovarian disease in the age group of 20-30 years. Risk factors for fibroids were found to be age, overweight and nulliparity. The main risk factor for poly cystic ovarian disease was found to be overweight. Treatment options were based on location and size of fibroid, age and patient preference.
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