Incidence, Management and Outcome of Perimenopausal and Postmenopausal Bleeding in Tobruk, Libya

Abnormal uterine bleeding (AUB) is defined as abnormal volume, duration, or frequency of the menstrual period and is a common symptom in women of all ages (premenopausal, perimenopausal, and postmenopausal). Many new diagnostic modalities are available to clinicians to help the assessment of women presenting with abnormalities in their menstrual pattern. This study aimed to evaluate the incidence, etiology, different diagnostic methods, and treatment of perimenopausal and postmenopausal bleeding in order to ensure the health and comfort of the patient. The study was carried out at the Department of Obstetrics and Gynecology, Tobruk Medical Center, during the period from 1/1/2022 to 1/1/2023. There was a significant difference between perimenopausal and post-menopausal regarding parity, systemic disease, hormonal use, family history of maternal problems, BMI, U/S, histopathological findings, and medical treatment. There is a significant amount of heterogeneity associated with the definition of premenopausal, compared with post menopause.