Autor: |
Jobda K; Department of Gynecology and Obstetrics, Międzyleski Specialist Hospital, 04-749 Warsaw, Poland., Szeszko Ł; Obstetrics and Gynecology Ward Provincial Specialist Hospital, 21-500 Biała Podlaska, Poland., Wróbel G; Department of Anatomy Collegium Medicum, Jan Kochanowski University, 25-317 Kielce, Poland., Głuchowska M; Collegium Medicum, Jan Kochanowski University, 25-317 Kielce, Poland., Krupińska J; Collegium Medicum, Jan Kochanowski University, 25-317 Kielce, Poland., Szeszko A; Collegium Medicum, Jan Kochanowski University, 25-317 Kielce, Poland., Makaruk B; The Józef Pilsudski University of Physical Education, 00-809 Warsaw, Poland., Oszukowski P; Department of Obstetrics, Gynecology and Oncological Gynecology, Clinic of Obstetrics and Perinatology, Medical University of Łódz, 93-316 Łódź, Poland., Zieliński P; Department of Anatomy Collegium Medicum, Jan Kochanowski University, 25-317 Kielce, Poland. |
Abstrakt: |
Abnormal uterine bleeding (AUB) is a condition defined as all uterine bleeding that differs from physiological menstruation. The etiology of AUB has been classified by the International Federation of Gynecology and Obstetrics (FIGO). It includes structural categories, such as endometrial polyps, adenomyosis, leiomyomas, hyperplasia, and malignant neoplasms, and non-structural categories, i.e., hemorrhages due to congenital and acquired coagulopathies, ovarian dysfunction, disorders of the local endometrial hemostasis mechanism with normal organ structure, iatrogenic causes, and due to other poorly defined causes. This is a retrospective study based on the medical data of a group of 543 women aged 21−88 years (52.81 ± 11.79) (p < 0.01) hospitalized at the Gynecology and Obstetrics Department in Biała Podlaska, Poland. These patients underwent an hysteroscopy procedure due to excessive uterine bleeding of varied, FIGO-divided etiology. The results show the dependence of postoperative hemoglobin and platelet count on the etiology of bleeding and the age of the women. The majority of patients had normal hemoglobin and platelet counts after the procedure, while moderate anemia was the most common disorder. It occurred most frequently in patients undergoing hysteroscopy due to heavy menstrual bleeding. |