Aim

To determine the association between abnormal uterine bleeding and metabolic syndrome among women in their reproductive age group [30-49yrs].

Objectives

1.       To determine the association of individual parameters of metabolic syndrome with AUB

2.       To assess the association of metabolic syndrome with Aub Material and Methods

Study Area: The study was conducted among patients attending Inpatient and Outpatient of obstetrics and gynaecology department of Malla Reddy Medical College for Women and hospital, Hyderabad

Study Design: Hospital based Prospective observational study

Study Period: September 2022 to February 2024

Study Population: Women of reproductive age group presenting with signs & symptoms or already diagnosed abnormal uterine bleeding (cases) to the department of obstetrics and gynaecology of Mallareddy Medical College for Women and hospital, Hyderabad.

Results

This prospective study was conducted in the department of Obstetrics and Gynaecology ofMallaReddy Medical College for Women and hospital, Hyderabad with an aim to determine the association between abnormal uterine bleeding and metabolic syndrome among women in their reproductive age group [30-49yrs]. The study was done between September 2022 to February 2024.

A total of 86 subjects were included in the study and divided equally into two groups of 43 each namely cases and controls. After obtaining consent from all the subjects and their attendants detailed history and clinical examination was noted using a pre-tested questionnaire.

The results of the study showed the overall mean age was 39.7± 8.4 years with majority of them belonging to middle class. Most of the women were P2L2 followed by P3L3.

The most common symptom observed in the cases was heavy menstrual bleeding and all of them had HTN and DM whereas none of the controls had any symptoms nor comorbidities.

The mean BMI and waist circumference in the cases was 34.03± 3.6 kgs/m2and 92.3± 12.2 respectively.

The mean blood pressure was higher than the controls. Investigations showed more than half of the cases had higher FBS, triglycerides and lowered HDL levels.

Conclusion

The metabolic syndrome factors were compared between cases and controls there was a significant 59difference and association between them suggesting AUB is associated with metabolic syndrome. Counselling the patients regarding Lifestyle modifications would reduce the incidence of Metabolic syndrome and AUB.