1989년 1월부터 1991년 12월까지 본 병원 산부인과에서 기능장애성 자궁출혈 환자 139례 대한 임상 및 병리학적 검사에서 다음과 같은 결과를 얻었다. 1. 연령분포는 40대에서 49%, 30대, 50대 순이었고, 평균연령은 41.5세였다. 2. 사과력은 평균 임신횟수가 5.2회였고, 분만횟수는 2,3회였다. 3.출혈양상은 월경간 출혈이 59례(42.4%), 월경과다가 42례(30.2%)로 많은 빈도를 차지하였다. 4. 자궁내막의 조직학적 소견은 중식기 내막이 54.7% 분비기 내막이 30.2%, 내막중식증이 5.7%순 으로 나타났다. 5. 표준화한 월경주기 14일후 자궁내막생검을 시행한 83례중 무배란성 출혈을 보이는 경우가 71% 로 나타났다.

Dysfunctional uterine bleeding(DUB)is defined as abnormal bleeding from the uterine endometrium, whic is unrelated to anatomic lesion. According to definition, dysfunctional uterine bleeding seems to be a exclusive term. The problem of abnormal uterine bleeding is the most frequent problem of all gynecologic disease and may ovvur on any age, from menarch to menopause, but occurs more frequently especially on puberty and menopause. it may occur in an ovulatory cycle, although it is more comonly associated with and anovulatory one. 139 cases of dysfunctional uterine bleeding were evaluated on clincal and pathologic aspects, and we performed brief review of literature. The results were as follows: 1. Age distribution of DUB was localized mainly in 30 ∼ 40 years, mean age was 41.5 years. 2. Dysfunctional uterine bleeding patients were mainly multigravidas (mean gravidities ; 5.2 times, mean parities; 2.6 times). 3. Among various bleeding patterns, intermenstrual bleeding was the most common pattern (42%) and the next was menorrhagia (30%). 4. Histologic findings of endometrium were proliferative phases, 76 cases (55%), secretory phase, 42 cases (30%), and hyperplasia, 8 cases (6%) in order of prequency. 5. According to endometrial biopsy, the incidence of anovulatory DUB was 71% (59 cases out of 83 cases) and ovulatory DUB was 29% (24 cases out of 83 cases).