Efficacy of hysteroscopy and endometrial biopsy in postmenopausal bleeding cases with endometrial thickness
Journal Title: Medpulse International Journal of Gynaecology - Year 2018, Vol 8, Issue 2
Abstract
Background: Early evaluation of PMB cases is very essential as an endometrial carcinoma when fortunately detected at an early stage can be cured with less morbidity and mortality. Women with postmenopausal bleeding and a thick endometrium must undergo hysteroscopy and endometrial biopsy because of the high risk of endometrial cancer. Aim: To study the efficacy of hysteroscopy and endometrial biopsy in postmenopausal bleeding cases with endometrial thickness. Material and Methods: Transvaginal sonography was done in 73 postmenopausal women. A total of 50 cases with endometrial thickness of equal or more than 4mm on TVS were subjected to diagnostic Hysteroscopy followed by D and C. Results: Mean endometrial thickness was 8.45±4.38mm.The association between endometrial thickness on TVS and endometrial biopsy outcome were highly statistically significant (p=0.000).Sensitivity and specificity of hysteroscopy for the cases of endometrial hyperplasia, endometrial polyp and submucous fibroid were 100% except in case of atrophic endometrium which was slightly less. Conclusion: Hysteroscopy is a gold standard especially in high risk patients and represents an easy, safe and effective means to investigate postmenopausal women with a thickened endometrium found on TVS.
Authors and Affiliations
Ishrath Fatima, Bhagyashri Sudhir Ranjawan, Roohi Mushtaque Shaikh
Keywords
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- EP ID EP470495
- DOI 10.26611/10128214
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