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. 2022 Feb 25;12(3):594.
doi: 10.3390/diagnostics12030594.

Hemoglobin Levels and Platelet Counts after Hysteroscopy Due to Abnormal Uterine Bleeding

Katarzyna Jobda  1 , Łukasz Szeszko  2 , Grzegorz Wróbel  3 , Marta Głuchowska  4 , Joanna Krupińska  4 , Artur Szeszko  4 , Beata Makaruk  5 , Przemysław Oszukowski  6 , Paweł Zieliński  3
Affiliations

Hemoglobin Levels and Platelet Counts after Hysteroscopy Due to Abnormal Uterine Bleeding

Katarzyna Jobda et al. Diagnostics (Basel). .

Abstract

Abnormal uterine bleeding (AUB) is a condition defined as all uterine bleeding that differs from physiological menstruation. The etiology of AUB has been classified by the International Federation of Gynecology and Obstetrics (FIGO). It includes structural categories, such as endometrial polyps, adenomyosis, leiomyomas, hyperplasia, and malignant neoplasms, and non-structural categories, i.e., hemorrhages due to congenital and acquired coagulopathies, ovarian dysfunction, disorders of the local endometrial hemostasis mechanism with normal organ structure, iatrogenic causes, and due to other poorly defined causes. This is a retrospective study based on the medical data of a group of 543 women aged 21−88 years (52.81 ± 11.79) (p < 0.01) hospitalized at the Gynecology and Obstetrics Department in Biała Podlaska, Poland. These patients underwent an hysteroscopy procedure due to excessive uterine bleeding of varied, FIGO-divided etiology. The results show the dependence of postoperative hemoglobin and platelet count on the etiology of bleeding and the age of the women. The majority of patients had normal hemoglobin and platelet counts after the procedure, while moderate anemia was the most common disorder. It occurred most frequently in patients undergoing hysteroscopy due to heavy menstrual bleeding.

Keywords: abnormal uterine bleeding; adenomyosis; endometrial polyp; gynecology; hemoglobin; hysteroscopy; leiomyomas; obstetrics.

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Conflict of interest statement

The authors declare no conflict of interest.

Figures

Figure 1
Figure 1
Correlation between the age of the patients and the values of the platelet count.
Figure 2
Figure 2
The results of the analysis of patients qualified for hysterectomy due to excessive uterine bleeding. (a) Distribution of the hemoglobin concentration value and the number of platelets by age; (b) correlation between the hemoglobin concentration value and the number of platelets.
Figure 3
Figure 3
The results of the analysis of patients hospitalized for endometrial hyperplasia. (a) Distribution of the hemoglobin concentration value and the number of platelets by age; (b) correlation between the hemoglobin concentration value and the number of platelets.
Figure 4
Figure 4
The results of the analysis of patients diagnosed with endometrial polyps. (a) Distribution of the hemoglobin concentration value and the number of platelets by age; (b) correlation between the hemoglobin concentration value and the number of platelets.
Figure 5
Figure 5
The results of the analysis of patients with heavy menstrual bleeding. (a) Distribution of the hemoglobin concentration value and the number of platelets by age; (b) correlation between the hemoglobin concentration value and the number of platelets.
Figure 6
Figure 6
The results of the analysis of patients hospitalized due to myomatosis. (a) Distribution of the hemoglobin concentration value and the number of platelets by age; (b) correlation between the hemoglobin concentration value and the number of platelets.
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