MORPHOLOGICAL PICTURE AND CAUSES OF DYSFUNCTIONAL UTERINE BLEEDING

Abstract

In the following research we studied the morphological picture and causes of dysfunctional uterine bleeding and the nature of pathomorphological changes in the endometrium in women of reproductive age. The longer the bleeding, the more the endometrium is damaged, atypical hyperplasia and dysplasia of varying degrees are manifested in women after 45 years. Histologically, there is a decrease in stromal elements and an increase in the number of altered endometrial glands. Prolonged dysfunctional bleeding develops with a combination of uterine fibroids instead of glandular hyperplasia. Based on the obtained histological studies, glandular hyperplasia was found in 21 patients, in 6 patients against the background of a polyp and inflammatory endometritis, and in 9 patients, atypical endometrial hyperplasia was diagnosed. The diagnosis of dysfunctional bleeding that lasted against the background of follicular atresia with a longer delay in bleeding was observed in 14 patients.