EVALUATION OF MENORRHAGIA AND ITS CORRELATION WITH HYSTEROSCOPY AND HISTOPATHOLOGY OF ENDOMETRIUM
Journal Title: Journal of Evolution of Medical and Dental Sciences - Year 2017, Vol 6, Issue 91
Abstract
BACKGROUND Menorrhagia is one of the most frequent complaint among women to see a gynaecologist. Clinically menorrhagia is total blood loss exceeding 80 mL/cycle and/or menses lasting later than 7 days.[1] About 66% of all pubertal girls[2] and equal proportion of women in reproductive age group[3] have complaints of heavy menstrual flow. Figure could be as high as 15% in perimenopausal women.[4] Dysfunctional uterine bleeding (DUB) is the diagnosis of exclusion in 60% of women.[5] To ascertain the exact causative factor of menorrhagia, different investigation methods are available like ultrasonography, hysteroscopy, dilatation and curettage (D & C) and histopathology of endometrium. The aim of the study is to know the best method among available methods and to compare diagnostic potential of hysteroscopy versus D&C followed by histopathology. Exact and timely diagnosis can prevent women from unnecessary hysterectomy. MATERIALS AND METHODS This is a prospective observational study conducted in R.D. Gardi Medical College. 97 women attending GYN Outpatient Department (OPD) between 01-09-2011 to 01-03-2013 complaining of DUB were included. In this study, in all patients, hysteroscopy and histopathology of endometrium after D&C was done to diagnose underlying pathology. RESULTS Results were compared between 2 methods for assessing DUB causing pathological factors. CONCLUSION Hysteroscopy is nowadays an office procedure, which is convenient and easily available and gives a lot of information, but old is gold, D&C and histopathology give detailed information of hormonal status of endometrium and also of many conditions like polyp, endometrial hyperplasia. So, pros and cons of every procedure should be weighed and accordingly can be used to assess abnormal uterine bleeding (AUB).
Authors and Affiliations
Neelam Tejwani, Rahul Padval, Roy P. K
Keywords
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- EP ID EP278668
- DOI 10.14260/jemds/2017/1401
- Views 84
- Downloads 0
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