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Dr. Kanchan S Dandawate*, Dr. Gautam S Aher, Dr. Suhas A Shinde


Aim and objective: To study the effect of education and socioeconomic factors on acceptance of the medical line of management in patients with Dysfunctional uterine bleeding. Material and Methods: Group of 50 patients was selected with the complaint of Excessive PV bleeding. Detailed history of these patients was taken regarding their complaint, its onset, duration and progress, any associated complaints. Thorough clinical examination was done including per abdominal, per speculum, bimanual and ultrasound examination. Diagnosis of DUB was confirmed. Educational background of the patient and her socioeconomic status was determined. She was then offered medical line of management of DUB in the form of oral pills either progesterone preparation or selective estrogens receptor modulator and her acceptance towards this management was analysed. This Study was conducted over a period of 6 months. Results: Out of the 50 patients only 34 patients accepted to take medical line of management. 47% (9 out of 19) illiterate patients, 73% (11 out of 15) patients with primary education and 100% of both (5out of 5 and 3 out of 3) patients with secondary education and graduation respectively accepted medical line of management.59.2% (16 out of 27) low socioeconomic class patients, 77.7% (14 out of 18) middle socioeconomic class patients 80% (4out of 5) higher socioeconomic class patients accepted medical line of management. Conclusion: Education and higher socioeconomic status had a positive relation with patient’s acceptance of medical management of DUB. Thorough counselling is needed to create awareness amongst the patients about the pros and cons of medical as well as surgical line of management for DUB. Though the study population was small yet we can say that patients are yet not easily accepting medical line of management for DUB and prefer hysterectomy, but a larger population needs to be studied to derive such a conclusion.

Keywords: education, socioeconomic class, medical management of DUB.

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