Frequency of outcomes of diagnostic dilatation & curettage in women with abnormal uterine bleeding

Objective: to emphasize the diagnostic role of dilatation & curettage as a tool for endometrial assessment in women with abnormal uterine bleeding. material and methods: randomized cross sectional study which was conducted at hayatabad medical complex,peshawar,kpk from december 2011 to december 2012. total 100 women aged between 20-50 years with menstrual irregularities were included in our study. women with palpable pelvic mass,known pregnancy complication and medical disorders were excluded. diagnostic dilatation & curettage done under general anesthesia. endometrial curetting were sent for histopathology and data was recorded on predesigned performa. results: in 40% of cases intrauterine lesions were diagnosed. the endometrial lesion found on histopathology were adenocarcinoma of endometrium in 04(4%),adenomatous hyperplasia in 2(2%) cystic hyperplasia in18 (18%.) simple hyperplasia in 04(4%),endometritis in 10(10%),endometrial polyp in 2(2%). 25% of intrauterine pathology were reported in women aged 41-50 years. conclusion: dilatation & curettage is still an effective method of endometrial assessment in women with abnormal uterine bleeding.