Treatment of Heavy Postmenopausal Bleeding With Comorbidities in Septuagenarian, Octogenarian and Nonagenarian (Case Series)

Authors

  • Mamuna Qayum Department of Obs & Gynae, Rahbar Medical & Dental College/Punjab Rangers Teaching Hospital/Cavalry Hospital, Lahore Pakistan
  • Abdul Bari Department of Obs & Gynae, Rahbar Medical & Dental College/Punjab Rangers Teaching Hospital/Cavalry Hospital, Lahore Pakistan
  • Nomira Waheed Department of Obs & Gynae, Rahbar Medical & Dental College/Punjab Rangers Teaching Hospital/Cavalry Hospital, Lahore Pakistan
  • Saba Zaman Department of Obs & Gynae, Rahbar Medical & Dental College/Punjab Rangers Teaching Hospital/Cavalry Hospital, Lahore Pakistan
  • Javeria Naeem Department of Obs & Gynae, Rahbar Medical & Dental College/Punjab Rangers Teaching Hospital/Cavalry Hospital, Lahore Pakistan
  • Osama Ali Department of Obs & Gynae, Rahbar Medical & Dental College/Punjab Rangers Teaching Hospital/Cavalry Hospital, Lahore Pakistan

DOI:

https://doi.org/10.51253/pafmj.v74i1.10683

Keywords:

Hemiplegia, Polypectomy, Polyps, Anesthesia

Abstract

Few postmenopausal patients with a history of postmenopausal bleeding with comorbidities and unfit for general anaesthesia.These could not be treated with conservative treatments and developed moderate to severe anaemia. Diagnosis and curettagewere required to treat the patients. Therefore, a saddle block was applied for D&C and polypectomy. According tohistopathological reports, the optimal outcome was succeeded with a multidisciplinary team and post-operation patient care.
Patients had follow-up visits after being discharged from the hospital, and the bleeding stopped. In this case series, we presentthree cases of treatment of heavy postmenopausal bleeding with comorbidities in septuagenarian, octogenarian and nonagenarian.

Downloads

Download data is not yet available.

References

Cleveland Clinic. Post-menopausal Bleeding. Causes, Diagnosis

and treatment. [Internet]. Available at:

https://my.clevelandclinic.org/health/diseases/21549.

Newell S, Overton C. Postmenopausal bleeding should be

referred urgently. Practitioner 2012; 256(1749): 13-5.

Harvard Medical School. Hypothyroidism-symptoms-andsigns-in-an-older-person. [Internet]. Available at:

https://www.health.harvard.edu/diseases-and

conditions/hypothyroidism-symptoms-and-signs-in-an-olderperson (Accessed on June 15, 2023).

Penson RT, Goodman A, Growdon WB, Borger DR, Lee SI,

Oliva E. Case records of the Massachusetts General Hospital.

Case 14-2013. A 70-year-old woman with vaginal bleeding. N

Engl J Med 2013; 368(19): 1827-35.

https://doi: 10.1056/NEJMcpc1209276.

American College of Obstetricians and

Gynecologists. Perimenopausal Bleeding and Bleeding after

Menopause. [Internet]. Available at:

https://www.acog.org/womens-health/faqs/perimenopausalbleeding-and-bleeding-after-menopause.

Baber RJ, Panay N, Fenton A; IMS Writing Group. 2016 IMS

Recommendations on women's midlife health and menopause

hormone therapy. Climacteric 2016; 19(2): 109-150.

https://doi.org/10.3109/13697137.2015.1129166.

Jokubkiene L, Sladkevicius P, Valentin L. Transvaginal

ultrasound examination of the endometrium in

postmenopausal women without vaginal bleeding. Ultrasound

Obstet Gynecol 2016; 48(3): 390-396.

https://doi.org/10.1002/uog.15841.

Peterson KJ, Dyrud P, Johnson C, Blank JJ, Eastwood DC,

Butterfield GE, et al. Saddle block anesthetic technique for

benign outpatient anorectal surgery. Surgery 2022; 171(3): 615-

https://doi.org/10.1016/j.surg.2021.08.066.

Maryam A, Sajjad H. Saddle Anesthetic Block. Treasure Island

(FL): StatPearls Publishing; 2023

Downloads

Published

28-02-2024

Issue

Section

Case Series

How to Cite

1.
Qayum M, Bari A, Waheed N, Zaman S, Naeem J, Ali O. Treatment of Heavy Postmenopausal Bleeding With Comorbidities in Septuagenarian, Octogenarian and Nonagenarian (Case Series). Pak Armed Forces Med J [Internet]. 2024 Feb. 28 [cited 2024 Nov. 22];74(1):248-50. Available from: https://pafmj.org/PAFMJ/article/view/10683