[A clinico-morphological study of uterine hemorrhages after the age of 40]

The type and nature of uterine bleedings during pre- and postmenopause were studied in 132 women, treated at the gynecological clinic of the Higher Medical Institute in the town of Pleven for a 2-year period (1986-1987). The patients were divided into groups according to histomorphological diagnosis: at the proliferative and secretory phase of endometrium, with glandular-cystic hyperplasia, with atypical hyperplasia of endometrium, adenocarcinoma, chronic endometritis and other more rarely encountered diseases, manifesting irregular uterine bleedings. The interconnection between histological state of the endometrium and data from the gynecological history and status were investigated. Pathological changes in the endometrium were established in 68.19% of women. In some of the described morphological diagnosis the manifested clinical symptoms were encountered more frequently and indicated a possible endometrial finding.