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“Dysfunctional Uterine Bleeding: Association with Bilateral Tubal Ligation”

Killol Nathubhai Desai, Vidya K. Satapara, Menka H. Shah.

Abstract
Aims: To find an association between Dysfunctional uterine bleeding (DUB) and prior Bilateral tubal ligation (BTL).
Settings and Design: Cross sectional study done at Pramukhswami Medical College, Shree Krishna Hospital, Karamsad from December 2011 to December 2012
Methods and Material: 150 patients between the ages of 30 to 50 with abnormal uterine bleeding (AUB) were studied. Exclusion criteria included intrauterine device (IUD), evidence of pregnancy, leiomyoma or ovarian pathology on sonography, uterine size of greater than 10 cm, medical disorders and hormonal therapy. All patients were worked up for underlying cause of AUB, assessed for BTL and divided in two groups. Group A of 80 patients with previous history of BTL and Group B of 70 patients had without previous history of BTL.
Statistical analysis used: By applying chi-square test, p-value of x 2 was calculated.
Statistical analyses were performed using the IBM SPSS (Statistical package for the Social Sciences v15.0) and Microsoft Excel 2007 software.
Results: In group A, 67 patients (83.7%) had DUB as compared to 26 (37.1%) in group B and this difference is statistically significant (p< 0.05)
Conclusions: In women undergoing diagnostic work up for AUB the likelihood of DUB being the underlying cause is greater if they have prior BTL.

Key words: Dysfunctional uterine bleeding, Bilateral Tubal ligation, Abnormal uterine bleeding



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