TY  - BOOK
AU  - de Guzman, Maria Rheapaz B., MD.
AU  - Reyes, Lylah D., MD.
AU  - Alensuela, Anna Belen I., MD.
TI  - The Prevalence and factors associated with endometrial polyp among women with abnormal uterine bleeding in a tertiary hospital in Metro Manila / 
AV  - OB 2022 0003 
PY  - 2022///
CY  - Fairview, Quezon City
PB  - Department of Obstetrics and Gynecology, FEU-NRMF
KW  - endometrial polyps
KW  - abnormal uterine bleeding
KW  - prevalence
KW  - risk factors
KW  - BMI
N1  - Includes appendices and bibliographical references; RESDOG
N2  - Abstract:  The most common structural cause of Abnormal Uterine Bleeding (AUB) is endometrial polyps. Identifying its risk factors may aid in recognizing the need for further use of diagnostic modalities thereby providing individualized management.  To determine the prevalence and risk factors of endometrial polyps in women with abnormal uterine bleeding aged 20 to 65 years old.  This is a retrospective study involving medical records of women aged 20 to 65 years old who consulted with AUB and underwent surgical management. Data were gathered from the charts included age, gravidity, parity, weight, height, BMI, history of medication use, menstrual bleeding pattern, ultrasound result, operation technique, and surgical histopathology result. This study utilized purposive sampling.  There were 283 charts reviewed, 85.5% had a histopathologic finding of endometrial polyp. Among the 242 cases with polyp, 50.5% were 40 years old and above. The prevalence of endometrial polyp was low among primiparous women (10.9%), most cases were in the reproductive age (71.73%) and did not use exogenous hormones (76.68%). There were almost equal patients having heavy menstrual bleeding (48.76%) and intermenstrual bleeding (51.24%). Preoperatively, most cases were detected ultrasonographically (62.90%) while 22.61% had incidental findings of endometrial polyp histopathologically. Among the factors, only BMI was significantly associated with occurrence of endometrial polyp (p 0.004). However, for those cases whose BMI category was overweight/obese, about 80.51% of cases had other histopathological findings as compared to 19.5% from those having endometrial polyp.  Endometrial Polyp has a high prevalence among women with AUB. Among the factors identified, a high BMI significantly increases the risk for occurrence of endometrial polyps and other histopathologic findings.
ER  -