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Study of the prevalence of abnormal uterine bleeding in the Western Amazon: clinical and epidemiological aspects
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Keywords

Uterine hemorrhage
Women's health
Leiomyomatosis

How to Cite

Study of the prevalence of abnormal uterine bleeding in the Western Amazon: clinical and epidemiological aspects. (2019). Electronic Journal Collection Health, 11(15), e1287. https://doi.org/10.25248/reas.e1287.2019

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Abstract

Objectives: To evaluate the clinical and epidemiological profile and treatments instituted to patients with Abnormal Uterine Bleeding (AUB) attended at the Endocrine Gynecology outpatient clinic in Manaus-Amazonas, from July 2015 to July 2017. Methods: This is a retrospective study, based on the analysis of archived medical records. The data were collected through a datasheet, tabulated and analyzed in SPSS and organized into tables and graphs in Excel. Results: A total of 909 patients were attended, of these 201 by AUB (22.1%). The majority were older than 35 years (72.6%), reported increased menstrual flow (91%) associated with dysmenorrhea (66.2%). Regarding the etiologies, according to PALM - COEIN, the most prevalent of the structural was leiomyomatosis (65.7%) and non - structural endometrial (13.4%). The treatment was surgical in 70.6% of the cases. In 69.7% they denied previous treatment and the mean time of disease evolution was 27 months. Conclusions: The prevalence of AUB was higher than that found in underdeveloped countries. Leiomyomatosis was the most common cause among all causes. The most frequent type of treatment was surgical. Called attention the cases of treatment abandonment and disease progression, compromising the quality of life and health of these patients.

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