Endometrial Patterns Among Rural Women Undergoing Gynecological Procedures in a Tertiary Care Hospital

Area of Science:

• Gynecology
• Pathology
• Rural Health

Background:

• Endometrial diseases are common in women presenting to outpatient departments.
• Histopathological patterns of the endometrium are influenced by age, menstrual cycle, drug use, and pathology.
• Access to specialized care can be limited in rural areas.

Purpose of the Study:

• To analyze the histopathological patterns of endometrial diseases in a rural population.
• To identify the common causes of gynecological complaints and uterine bleeding in rural women.
• To evaluate the age-specific prevalence of endometrial conditions.

Main Methods:

• An ambispective study was conducted over 33 months in a rural medical college hospital.
• Histopathological registers were reviewed, and data from endometrial biopsy and hysterectomy samples were collected.
• Statistical analysis was performed using SPSS software.

Main Results:

• A total of 226 women were included; hysterectomy specimens were the most common.
• Excessive menstrual bleeding was reported by 70% of middle-aged women.
• Normal proliferative and secretory endometrium were observed in 40.3% and 18.1% of patients, respectively. Adenomyosis was the most frequent cause of uterine bleeding.

Conclusions:

• Uterine bleeding is the predominant gynecological complaint among women in rural settings.
• Middle-aged women represent the largest demographic for gynecological issues.
• Adenomyosis is the leading cause of uterine bleeding, and endometrial malignancies are infrequent in this population.