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Postmenopausal bleeding (Pmb) and benign conditions Study in rural belt of India. - ppt download

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Detailed history Assessment of risk factors Full clinical examination Investigations: Routine Pap smear Appropriate biopsy Smear Cytology TVS HSG combined with TVS Saline sono-hysterography CT MRI (as required)
Postmenopausal bleeding (Pmb) and benign conditions Study in rural belt of India
Benign conditions though most frequent and can cause considerable distress. Study: In Gynecology department, RIMS, a rural based tertiary center (Jan’10-July’12) patients, 1200 Pmb. Aim To exclude malignancy To confirm diagnosis To treat accordingly.
Para<=5: 513 (57 %) Low SES: 700 (78%) No circumcision: 555 (61.66%) belonging to Hindu community
50-54 yrsEndometrial (Em) yrs Endometrial (Em)
300(25%) in present study had malignant lesions. Community education, mass screening, regular follow up, timely intervention is necessary even with slight bleeding. Em. Thickness >4mm, bulky uterus considered malignant unless until proved..
QUESTIONS Thank you Dr Gopa Chowdhury Asstt. Prof, RIMS, Ranchi INDIA

Postmenopausal bleeding

The term post menopause is applied to women who have not experienced a menstrual bleed for a minimum of 12 months, assuming that they do still have. - ppt download