ACKNOWLEDGEMENT At the very outset, I failed to find adequate words of admiration with limited vocabulary at my command, to express a cart

load of deep gratitude to my chief guide and Supervisor DR. REENA SRIVASTAVA (MS), Professor and Head, Department of Obstetrics and Gynaecology, B.R.D. Medical College, Gorakhpur without whose unstinted cooperation, exceptionally able guidance and consistent inspirational attitude, this thesis would not have seen light of the day. Her profound mastery over the subject is outstanding and she is every ready to impart the knowledge. I feel highly privileged to have had the opportunity to work with such a dynamic personality. With the deep sense of respect and gratitude, I thank my co-supervisor Dr. N .R. SHARMA (MS), Professor and Ex. Head, Department of Obstetrics and Gynaecology, for her constant supervision and guidance during the accomplishment of this work. I wish to convey my heartful thanks to my co-supervisor Dr. R K JAIN (MD) Professor and Head, Department of Radiology and Dr. R K MISHRA (MD) Professor and Head, Department of Pathology for his every preparedness for help and sincere advices. I greatly acknowledge the help given to me by Dr. SUDHIR GUPTA (MS), Lecteurer, Department of Obstetrics and Gynaecology, for him

valuable suggestions and counselling throughout the progress of this work. Words fail to express my love and regards to my mother- MRS. USHA YADAV AND my father MR LAL BAHADUR YADAV without their

inspiration, love and affection, I would not have been able to stand wherever I am. I shall always feel profound to be born and brought up under their guardianship. Without their cooperation my persue to this post graduation would have not been possible.

I would fail in my duty, if I would not thank Mr.VISHAL , who have taken pain for meticulous typing of this thesis. I wish to offer my thanks to my Junior colleagues, Paramedical staff and to all those who have directly or indirectly helped me in completing the present task. I also wish to thank all my patients in keeping the project in progress. Above all, I thank GOD whose grace was most sufficient in every matter to end the journey in a reasonably good period of time with least effects of the barriers on the way. Date: (SHAILI YADAV)

Department of Obstetrics and Gynaecology

B.R.D. Medical College Gorakhpur

Certificate

This is to certify that the entitled MINIMUM SET OF INVESTIGATIONS REQUIRED FOR EVALUATION OF ABNORMAL UTERINE BLEEDIG IN LOW RESOURCE SETTING. has been carried out by DR. SHAILI YADAV in the Department of Obstetrics and Gynecology, B.R.D. Medical College, Gorakhpur. She has fulfilled the requisite conditions of Residency in the Department of Obstetrics and Gynecology after the registration of the subject of her thesis as per university rules. Forwarded and recommended by.

(DR. REENA SRIVASTAVA)

MS (Obst. & Gynae.)

Professor and Head, Department of Obst. and Gynae., B.R.D. Medical College, Gorakhpur

Department of Obstetrics and Gynaecology B.R.D. Medical College Gorakhpur

Certificate

This is to certify that the entitled MINIMUM SET OF INVESTIGATIONS REQUIRED FOR EVALUATION OF ABNORMAL UTERINE BLEEDING IN LOW RESOURCE SETTING. has been completed by DR. SHAILI YADAV under our supervision and her observation were checked and verified by us from time to time. This thesis fulfills the basic ordinance governing the submission of the thesis laid down by Gorakhpur University.
SUPERVISOR

(DR. REENA SRIVASTAVA)

MS (Obst. & Gynae)

Professor and Head, Department of Obst. and Gynae, B.R.D. Medical College, Gorakhpur CO-SUPERVISOR (DR. NEELA RAI SHARMA)
MS (Obst. & Gynae)

(DR. R.K. MISHRA)

MD (Path.)

Professor and Ex.Head, Department of Obst. and Gynae, B.R.D. Medical College, Gorakhpur

Professor and Head, Department of Pathology, B.R.D. Medical College, Gorakhpur (U.P.)

(DR. R.K. JAIN)

MD (Radiology)

(DR. SUDHIR GUPTA)

MS (Obs & Gynae)

Professor and Head, Department of Radiology, B.R.D. Medical College, Gorakhpur (U.P.)

Lecturer, Department of Obst & Gynae, B.R.D. Medical College, Gorakhpur (U.P.)

CONTENTS
Page No. 1. Introduction 2. Aims Objective 3. Review Literature 4. Material Methods 6. Discussion 7. Conclusion 8. Bibliography 9. Summary(attac hed separately) 10 Master chart and of and
1-3 4

5-18

19-22 23-47 48-52 53-54 55-63 64-66

5. Observation

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