Jabber TS1, NaharM2, Billah A3, Sultana R4, Urmi SJ5, Fatema N6, Parvin R7
Background: Management of dysfunctional uterine bleeding is very crucial among the women. Objective: The purpose of the present study was to see the medical and surgical management with their outcomes among women presented with dysfunctional uterine bleeding. Methodology: This prospective cohort study was carried in the Department of Obstetrics & Gynecology at Shaheed Suhrawardy Medical College Hospital, Sher-E-Bangla Nagar, Dhaka, Bangladesh and Dhaka Medical college Hospital, Dhaka, Bangladesh. This present study was conducted on the patients presented with dysfunctional uterine bleeding in the age group of 16 years to 55 years during the period of 12 months from July 2005 to June 2006. Result: A total number of 50 cases were studied and the mean age was 40.25 years. Thirty-Six (72.0%) patients had hysterectomy. Among them 16(44.45%) cases had direct hysterectomy and rest 20(55.55%) patients had hysterectomy either having curettage or medical treatment or both before. Newer LNG-IUCS (progestogen containing [UCD) give better result of all the hormones treatment and it is about 76-100 percent cure rate. Curettage gives immediate good result in hemostasis (83.33%).Conclusion: In conclusion, most of the patients are treated with hysterectomy with good outcomes.