Successful Uterus Conservation in a Menopausal Patient with Abnormal Uterine Bleeding

Background 

Six months ago, Dr Manjusha Goel in the Gynae Department of the CK Birla Hospital was visited by a 48-year-old female patient named Neeru who had been suffering from severe bleeding for a year.

Investigation & Analysis

After pelvic examination of patient Dr Manjusha Goel advised her ultrasound to check uterus lining & uterine pathology. Further history indicated that the patient was on multiple medications.

High blood pressure medicine for 5 years

Diabetes medicine for 2 years

Hypothyroid medicine for 10 years

Ultrasound showed that her uterus size was large with a small fibroid. Her endometrial lining was around 16mm thick. The patient had been bleeding continuously for 15 days and her Haemoglobin had dropped to 8gm percent.

Treatment and Management 

As the patient was approaching her menopause, Dr Manjusha recommended an endometrial aspiration in OPD. With proper medical consultation, Mirena was inserted when no atypia was seen in the biopsy report. Based on her past medical records, an option of conserving the uterus and surgical procedures was discussed with her. She was given oral iron and other guidance to ensure that her other medical conditions remained in check.

Outcome

Thanks to a quick and thorough OPD diagnosis from our medical expert, the patient conserved her uterus successfully. Now, she is happy and doing well.