Investigate the causes of PUA

Oct 13, 2025 by wbrum.org 12 views

Analysis of Cases of Abnormal Uterine Bleeding (PUA) at the Adam Malik Hajj Center General Hospital Medan

Introduction

Abnormal uterine bleeding (PUA) is a medical condition that affects many women worldwide, often serving as an indicator of various underlying health problems. This study aims to describe the characteristics of patients who experience PUA at the Adam Malik Hajj Center General Hospital in Medan, Indonesia, from 2014 to 2018. The research method employed in this study is a descriptive approach with a cross-sectional design, where data is collected from the medical records of patients diagnosed with PUA in the gynecology section of the hospital.

Research Methods

This study utilizes the total sampling method to collect all patient medical record data diagnosed with PUA. All data is then analyzed descriptively to determine the frequency distribution of all research variables, including age, body mass index (BMI), parity, ethnicity, occupation, and types of cases underlying PUA.

Research Results

The results of this study show that most PUA patients were aged between 21 to 30 years, with 115 people (30% of the total samples) falling within this age group. In terms of body mass index (BMI), the majority of patients were categorized as obese, with 232 people (61%) falling within this category. Additionally, this study found that 149 people (39%) of the sample were primipara, or women who were first-time mothers.

In terms of ethnicity, it was found that 41.5% of patients came from the Batak tribe, followed by Javanese (31.3%), Aceh (9.4%), and Malay (8.6%). The majority of patients were housewives (IRT), with 62.1% of the sample falling within this category. Entrepreneurs and farmers made up 12.3% and 8.4% of the sample, respectively.

In terms of the underlying causes of PUA, the study found that leiomyoma was the most common cause, with 123 cases (32.1%) reported. This was followed by malignant cases (29%) and ovulation disorders (15.9%). The therapy provided to patients varied, with medical therapy being administered to 121 cases (31.6%), curettage to 120 cases (31.3%), and hysterectomy to 110 cases (28.7%). Furthermore, the results of histopathological examination showed that 139 patients (36.3%) experienced problems that required medical follow-up.

Demographic Analysis

A further analysis of the data revealed that the most PUA cases occurred in the 41-50 years of age group, with leiomyoma being the most common cause, accounting for 81 cases (78%). The most malignant cases were found in the 51-60 years of age group, with 72 cases (69.9%) reported. Ovulation disorders were most visible in the 21-30-year-old age group, with 36 cases (31.3%) reported, and 12 cases (10.4%) in the same age group.

Conclusion

The results of this study provide a clear picture of PUA trends and characteristics, which are essential for the development of more effective prevention and care strategies in the future. The study found that there was a significant increase in PUA cases during the study period, although leiomyoma remained the most common cause of PUA cases at the Adam Malik Hospital in Medan. Knowledge of the characteristics of PUA patients is crucial for the development of more effective prevention and care strategies.

Implications

This study provides a valuable contribution to the understanding of PUA trends and characteristics, which can benefit medical parties and the community in understanding this condition. With the right knowledge, patients can receive the necessary treatment to improve their quality of life. The study's findings can also inform the development of more effective prevention and care strategies, which can ultimately improve health outcomes for women experiencing PUA.

Recommendations

Based on the study's findings, the following recommendations are made:

Increased awareness: There is a need to increase awareness about PUA among women, particularly in the 21-30 years of age group, who are most affected by this condition.
Early detection: Early detection of PUA is crucial for effective management and treatment. Healthcare providers should be aware of the signs and symptoms of PUA and refer patients for further evaluation and treatment if necessary.
Effective treatment: Effective treatment of PUA requires a multidisciplinary approach, involving gynecologists, obstetricians, and other healthcare professionals. Patients should receive comprehensive care, including medical therapy, curettage, and hysterectomy, as needed.
Follow-up care: Patients who experience PUA require regular follow-up care to monitor their condition and prevent complications. Healthcare providers should ensure that patients receive regular check-ups and follow-up care to prevent long-term consequences.

Limitations

This study has several limitations, including:

Sample size: The sample size of this study was relatively small, which may limit the generalizability of the findings.
Data collection: The data was collected from medical records, which may be subject to bias and errors.
Study design: The study employed a cross-sectional design, which may not capture the temporal relationships between variables.

Future Research Directions

Future research should aim to:

Investigate the causes of PUA: Further research is needed to investigate the underlying causes of PUA, including genetic, hormonal, and environmental factors.
Develop effective prevention strategies: Effective prevention strategies are needed to reduce the incidence of PUA.
Improve treatment outcomes: Further research is needed to improve treatment outcomes for patients with PUA, including the development of more effective medical therapies and surgical interventions.

Conclusion

In conclusion, this study provides a comprehensive analysis of PUA cases at the Adam Malik Hajj Center General Hospital in Medan, Indonesia. The study's findings highlight the need for increased awareness, early detection, effective treatment, and follow-up care for patients with PUA. Future research should aim to investigate the causes of PUA, develop effective prevention strategies, and improve treatment outcomes for patients with PUA.
Q&A: Abnormal Uterine Bleeding (PUA) - Frequently Asked Questions

Introduction

Abnormal uterine bleeding (PUA) is a medical condition that affects many women worldwide, often serving as an indicator of various underlying health problems. In our previous article, we analyzed the characteristics of patients who experience PUA at the Adam Malik Hajj Center General Hospital in Medan, Indonesia. In this Q&A article, we will address some of the most frequently asked questions about PUA.

Q: What is abnormal uterine bleeding (PUA)?

A: PUA is a medical condition characterized by irregular or abnormal bleeding from the uterus. This can include heavy or prolonged menstrual bleeding, irregular periods, or bleeding between periods.

Q: What are the causes of PUA?

A: The causes of PUA can be varied and may include hormonal imbalances, uterine fibroids, polyps, endometriosis, and cancer. Other factors such as stress, anxiety, and certain medications can also contribute to PUA.

Q: What are the symptoms of PUA?

A: The symptoms of PUA can vary depending on the underlying cause, but common symptoms include heavy or prolonged menstrual bleeding, irregular periods, bleeding between periods, and pelvic pain.

Q: How is PUA diagnosed?

A: PUA is typically diagnosed through a combination of medical history, physical examination, and laboratory tests, including a pelvic exam, ultrasound, and endometrial biopsy.

Q: What are the treatment options for PUA?

A: Treatment options for PUA depend on the underlying cause and may include hormonal therapy, surgery, or other medical interventions. In some cases, lifestyle changes such as dietary modifications and stress management may also be recommended.

Q: Can PUA be prevented?

A: While PUA cannot be completely prevented, certain lifestyle changes and medical interventions may help reduce the risk of developing this condition. These include maintaining a healthy weight, exercising regularly, and managing stress.

Q: How can I manage my PUA symptoms?

A: Managing PUA symptoms requires a comprehensive approach that includes medical treatment, lifestyle changes, and stress management. This may include taking hormonal medications, practicing stress-reducing techniques, and making dietary modifications.

Q: Can PUA affect my fertility?

A: Yes, PUA can affect fertility in some cases. Heavy or prolonged menstrual bleeding can lead to anemia, which can reduce fertility. Additionally, certain medical treatments for PUA may also affect fertility.

Q: How can I reduce my risk of developing PUA?

A: Reducing your risk of developing PUA requires a combination of lifestyle changes and medical interventions. This may include maintaining a healthy weight, exercising regularly, managing stress, and getting regular check-ups with your healthcare provider.

Q: What are the long-term consequences of PUA?

A: The long-term consequences of PUA can vary depending on the underlying cause and treatment. In some cases, PUA can lead to anemia, infertility, and other complications. However, with proper treatment and management, many women are able to manage their PUA symptoms and reduce their risk of long-term complications.

Conclusion

Abnormal uterine bleeding (PUA) is a common medical condition that affects many women worldwide. By understanding the causes, symptoms, and treatment options for PUA, women can take steps to manage their symptoms and reduce their risk of long-term complications. If you are experiencing PUA symptoms, it is essential to consult with your healthcare provider to determine the best course of treatment.

Additional Resources

For more information on PUA, please visit the following resources:

American College of Obstetricians and Gynecologists (ACOG)
National Institute of Child Health and Human Development (NICHD)
World Health Organization (WHO)

Disclaimer

This Q&A article is for informational purposes only and should not be considered as medical advice. If you are experiencing PUA symptoms, please consult with your healthcare provider for proper diagnosis and treatment.