Submission 14 July 2025
Acceptance 22 Aug 2025
Publication 18 October 2025
Volume 13 Issue 10
A research study on Heavy menstrual bleeding in patients presented in gynaecology ward among the patients aged 35 and above
1Qamar Abbas, 2Dr Sonia Habib, 3Mansoor Musa, 4Fazilat Jamala, 5Isma Abbas, 6Faiza Maqsood
1PIMS Islamabad
2Senior registrar Radiologist Liaquat institute of medical and health sciences (LIMHS) Thatta
3Agha Khan Hospital Karachi.
4North West General Hospital & Research Center
5UHS Lahore
6Liaquat Hospital Karachi.
ABSTRACT
Background: Heavy menstrual bleeding (HMB) is a common gynecological concern, especially among women aged 35 years and older. Accurate diagnosis is essential for effective management. Ultrasound (USG) has emerged as a valuable tool for assessing the underlying causes of HMB.
Aim: This study aimed to evaluate the efficacy of USG in diagnosing the causes of HMB in women aged over 35 years presenting in a gynecology outpatient department (OPD).
Methods: A retrospective analysis of medical records of 300 women aged 35 and above presenting with HMB at a gynecology OPD was conducted. USG findings, including endometrial thickness, uterine abnormalities, and ovarian pathology, were assessed. The results were correlated with subsequent diagnostic procedures or interventions.
Results: USG was found to be a valuable diagnostic tool, with 82% sensitivity and 90% specificity in identifying the causes of HMB in this age group. The most common findings included endometrial thickening (28%), fibroids (22%), and polyps (15%). Subsequent management decisions were significantly influenced by USG findings.
Conclusion: USG is a reliable and non-invasive method for diagnosing the causes of HMB in women aged over 35 years. Early detection and accurate diagnosis through USG can guide appropriate management strategies and improve the overall quality of care for these patients.
Keywords: Heavy menstrual bleeding, ultrasound, gynecology, diagnosis, women, age, outpatient department.
