Abstract

Diagnostic curettage, endometrial biopsy, and hysteroscopy are some diagnostic methods for patients who are hospitalized with abnormal uterine bleeding. In fact, curettage is implemented to diagnose uterine complications, treat forgotten abortions, and determine the cause of infertility. The main objective of the present study is investigating the prevalence of abnormal pathologies in evacuative curettage products in Amiralmomenin Hospital in Zabol from 2013 to 2016. The present descriptive study included 339 patients, aged more than 35 years old, who underwent diagnostic curettage because of abnormal bleeding in Amiralmomenin Hospital in Zabol from 2013 to 2016. Required data was collected using a researcher-made questionnaire and analyzed using SPSS, Version 18. Mean age of patients with cancer turned out to be 45.75 +/- 1.98, 54.4 +/- 1.33 for atrophy patients, 44.31 +/- 0.45 for miscellaneous diagnosis, and 43.45 +/- 0.95 for healthy subjects. According to the analysis of the results of sample curettage pathologies, 134 cases (39.5) had Hyperplasia, 7 cases (2.06) had cancer, 40 cases (11.79) had atrophy, 107 cases (31.5) had normal uterus, and 51 cases (15.04) had miscellaneous complications; in case of abnormal bleeding complaints, 159 cases (46.9) had Menorrhagia, 57 cases (16.8) had metrorrhagia, 43 cases (13.2) had menometrorrhagia, and 80 cases (23.1) had postmenopausal bleeding. According to the results of the present study, abnormal uterine bleeding is the most important clinical sign of endometrial cancer; therefore, it is quite essential for women above 35 years old with uterine bleeding to undergo clinical examination. It is, also, recommended to conduct further studies on the causes of hyperplasia, endometrial cancer prevention, and the impact of hyperplasia treatment.