Abstract:
Background: - Abnormal uterine bleeding (AUB) is the most common clinical presentation
among reproductive-age group women visiting gynecologic clinic. It accounts for one-third of
the cases. Its cause varies with women’s age and ranging spectrum from physiologic process to
malignant lesions. Its clinical presentation is classified based on menstrual flow by amount,
duration of flow, regularity and frequency. As to the investigator’s knowledge, limited research
is available in our setting about its prevalence, clinical pattern and associated factors.
Objective: - To determine the prevalence of AUB, it’s clinical pattern and associated factors at
Jimma medical center gynecologic outpatient
Method: - Institutional based cross-sectional study was conducted at Jimma medical center
gynecologic out-patient department from April 1, 2021 to September 30, 2021. The totals of 552
of samples were collected by convenience sampling technique from women visiting gynecologic
outpatient department. A structured questionnaire were used to collect data, and the data were
entered in to computer using Epi-data version 3.1 and exported to statistical package for social
science (SPSS) version 26 statistical software packages for analysis. Descriptive statistics were
used to summarize descriptive data; bivariate and multivariable logistic regression analyses were
carried out to measure statistical associations. Adjusted odd ratio and 95% CI were used to
measure strength of association and its statistical significance respectively.
Result: - In this study 552 reproductive-age group women included making response rate of
92.3%. The prevalence of abnormal uterine bleeding in this study was 40.9%. Distribution
pattern of AUB in this study is HMB 22.8%, prolonged menstrual bleeding 20.8%, frequent
bleeding 19.2%, irregular menstrual bleeding 17.8%, amenorrhea 5.6% and intermenstrual
bleeding 4.3%. The result of multivariable logistic regression analysis shows that age being
between 31-40 years, being government employee, being para one woman and history of
previous abnormal uterine bleeding on expectant management were independently associated
with abnormal uterine bleeding.
Conclusion: - According international federation of Obstetrics and Gynecology classification
prevalence of abnormal uterine bleeding is higher in this study. Most common pattern seen on
this study is heavy menstrual bleeding (22.8%). In this study age, occupation, parity and previous
treatment of abnormal uterine bleeding are main factors associated with AUB
