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Abstract
Objective: To identify by using the PALM component of the FIGO classification of AUB, the relationship between the clinical presentation of perimenopausal abnormal uterine bleeding (AUB), pelvic ultrasonographic abnormalities, and histological analysis of hysterectomy tissues.
Methodology: This cross-sectional descriptive study was conducted in the Department of Radiography & Imaging Technology, Federal Institute of Health Sciences, from February 2025 to July 2025, and data was collected from affiliated Hopital among perimenopausal women who underwent hysterectomy for AUB. Data included clinical presentations, pelvic ultrasonographic findings, and histopathology reports of hysterectomy specimens, along with demographic variables such as age and parity.
Results: From 100 instances, 68 patients, or 68% of the total, were between the ages of 40 and 45. Clinically, heavy menstrual bleeding was the most prevalent. Pelvic ultrasonography identified thicker endometrium in 25% (n=25) of patients and fibroid uterus in 45% (n=45) of cases. 45% (n=45) had fibromyoma, and 15% (n=15) had fibroid with endometrial hyperplasia, according to histopathological analysis. Clinical diagnosis and ultrasonography showed a positive association (r = 0.276, p < 0.05). Histopathology and clinical diagnosis, however, had a comparatively worse connection.
Conclusion: The most common cause of abnormal uterine bleeding in perimenopausal women having hysterectomy was uterine fibroids. When it came to detecting fibroids, radiological and pathological assessments correlated well with clinical diagnosis.