Association of Endometrial Hyperplasia with Some Risk Factors

BACKGROUND AND OBJECTIVE: Endometrial cancer is one of the most common invasive gynecologic malignancies. Abnormal uterine bleeding (AUB) is the most common symptom in endometrial hyperplasia. Women with AUB are examined with dilation and curettage (D;C) to rule out any endometrial lesions including...

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Autores principales: R Faraji, N Esmailpour, B Behfar
Formato: article
Lenguaje:EN
FA
Publicado: Babol University of Medical Sciences 2009
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Acceso en línea:https://doaj.org/article/9c7a1e6c915b41eea193ac0843664dee
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spelling oai:doaj.org-article:9c7a1e6c915b41eea193ac0843664dee2021-11-10T09:02:35ZAssociation of Endometrial Hyperplasia with Some Risk Factors1561-41072251-7170https://doaj.org/article/9c7a1e6c915b41eea193ac0843664dee2009-04-01T00:00:00Zhttp://jbums.org/article-1-3157-en.htmlhttps://doaj.org/toc/1561-4107https://doaj.org/toc/2251-7170BACKGROUND AND OBJECTIVE: Endometrial cancer is one of the most common invasive gynecologic malignancies. Abnormal uterine bleeding (AUB) is the most common symptom in endometrial hyperplasia. Women with AUB are examined with dilation and curettage (D;C) to rule out any endometrial lesions including endometrial hyperplasia and carcinomas. This study was performed to determine the associated factors with endometrial hyperplasia.METHODS: This cross-sectional study was performed on 504 cases of D;C in Al Zahra teaching hospital, Rasht in 2005-2006. Cases were divided into two groups based on endometrial hyperplasia and absence of endometrial hyperplasia. Variables included: age of patients, menstrual pattern, high blood pressure, history of diabetes mellitus, contraceptive method used, nulliparity and infertility history were studied and compared.FINDINGS: There were 61 cases (12.1%) of endometrial hyperplasia including simple and complex (atypical and non–atypical). Independent factors associated with endometrial hyperplasia were diabetes mellitus (24.6% vs. 11.1%) (p<0.003), hypertension (27.9% vs. 16%) (p<0.02), and oligomenorrhea (32.8 vs. 13.5%) that had a statistically significant relationship with endometrial hyperplasia (p=0.0001). No significant relation was found between the age over 45 years, nulliparity, taking OCP and infertility history with endometrial hyperplasia.CONCLUSION: According to the results of this study, women with history of diabetes mellitus, high blood pressure, menstrual pattern and oligomenorrhea are high-risk group for endometrial hyperplasia and carcinoma. They should be examined by proper diagnostic procedures such as D;C.R Faraji,N EsmailpourB BehfarBabol University of Medical Sciencesarticleendometrial hyperplasiarisk factorsabnormal uterine bleedingMedicineRMedicine (General)R5-920ENFAMajallah-i Dānishgāh-i ̒Ulūm-i Pizishkī-i Bābul, Vol 11, Iss 1, Pp 30-35 (2009)
institution DOAJ
collection DOAJ
language EN
FA
topic endometrial hyperplasia
risk factors
abnormal uterine bleeding
Medicine
R
Medicine (General)
R5-920
spellingShingle endometrial hyperplasia
risk factors
abnormal uterine bleeding
Medicine
R
Medicine (General)
R5-920
R Faraji,
N Esmailpour
B Behfar
Association of Endometrial Hyperplasia with Some Risk Factors
description BACKGROUND AND OBJECTIVE: Endometrial cancer is one of the most common invasive gynecologic malignancies. Abnormal uterine bleeding (AUB) is the most common symptom in endometrial hyperplasia. Women with AUB are examined with dilation and curettage (D;C) to rule out any endometrial lesions including endometrial hyperplasia and carcinomas. This study was performed to determine the associated factors with endometrial hyperplasia.METHODS: This cross-sectional study was performed on 504 cases of D;C in Al Zahra teaching hospital, Rasht in 2005-2006. Cases were divided into two groups based on endometrial hyperplasia and absence of endometrial hyperplasia. Variables included: age of patients, menstrual pattern, high blood pressure, history of diabetes mellitus, contraceptive method used, nulliparity and infertility history were studied and compared.FINDINGS: There were 61 cases (12.1%) of endometrial hyperplasia including simple and complex (atypical and non–atypical). Independent factors associated with endometrial hyperplasia were diabetes mellitus (24.6% vs. 11.1%) (p<0.003), hypertension (27.9% vs. 16%) (p<0.02), and oligomenorrhea (32.8 vs. 13.5%) that had a statistically significant relationship with endometrial hyperplasia (p=0.0001). No significant relation was found between the age over 45 years, nulliparity, taking OCP and infertility history with endometrial hyperplasia.CONCLUSION: According to the results of this study, women with history of diabetes mellitus, high blood pressure, menstrual pattern and oligomenorrhea are high-risk group for endometrial hyperplasia and carcinoma. They should be examined by proper diagnostic procedures such as D;C.
format article
author R Faraji,
N Esmailpour
B Behfar
author_facet R Faraji,
N Esmailpour
B Behfar
author_sort R Faraji,
title Association of Endometrial Hyperplasia with Some Risk Factors
title_short Association of Endometrial Hyperplasia with Some Risk Factors
title_full Association of Endometrial Hyperplasia with Some Risk Factors
title_fullStr Association of Endometrial Hyperplasia with Some Risk Factors
title_full_unstemmed Association of Endometrial Hyperplasia with Some Risk Factors
title_sort association of endometrial hyperplasia with some risk factors
publisher Babol University of Medical Sciences
publishDate 2009
url https://doaj.org/article/9c7a1e6c915b41eea193ac0843664dee
work_keys_str_mv AT rfaraji associationofendometrialhyperplasiawithsomeriskfactors
AT nesmailpour associationofendometrialhyperplasiawithsomeriskfactors
AT bbehfar associationofendometrialhyperplasiawithsomeriskfactors
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