ROLE OF HYSTEROSCOPY IN GYNAECOLOGICAL PROBLEMS
Journal Title: Journal of Evolution of Medical and Dental Sciences - Year 2015, Vol 4, Issue 12
Abstract
[b]AIMS AND OBJECTIVES[/b]: The present study is carried out with following aims and objectives to diagnose intrauterine causes of various gynaecological problems, to correlate between hysteroscopic and clinical findings, to treat the pathology hysteroscopically, if possible and to put the patient on treatment depending upon the diagnosis made by hysteroscope.[b] MATERIAL AND METHODS[/b]: The present study was carried out on 100 patients between the age group 18-60 years admitted in the Gynaecology ward of Rajindra Hospital, Patiala. The present study was carried out to diagnose the intrauterine causes of various gynaecological problems like menstrual irregularities, infertility and post-menopausal bleeding. [b]OBSERVATIONS[/b]: In the present study, majority of the patients (52%) were in the menstrual irregularities group. Normal cavity was found in 53.8% of the patients with menstrual irregularities and 52.7% of cases of infertility. Majority of the patients of post-menopausal bleeding had abnormal cavity (66.7%). Significantly more abnormal findings were diagnosed in the postmenopausal bleeding group (66.7%) as compared with pre-menopausal menstrual irregularities group (46.2%). On correlating clinical and hysteroscopic findings, the present study shows a higher accuracy of positive predictive value of hysteroscopy (93%). 49 out of 100 patients (49%) had positive findings making this investigation a necessary tool in the armamentarium of a modern gynaecologist. [b]CONCLUSION[/b]: Hysteroscopy came out to be a better procedure than conventional clinical methods. It added a new dimension in the management of patients with menstrual irregularities, infertility and postmenopausal bleeding, increasing the accuracy of diagnosis and serving as an adjunct in the treatment of intrauterine problems.
Authors and Affiliations
Jyotsna Kamra, Mandeep Kaur
Keywords
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- EP ID EP111804
- DOI 10.14260/jemds/2015/275
- Views 101
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