ROLE OF HYSTEROSCOPY IN DIAGNOSING INTRAUTERINE PATHOLOGY
Journal Title: Journal of Evolution of Medical and Dental Sciences - Year 2017, Vol 6, Issue 88
Abstract
BACKGROUND Hysteroscopy is evolving as a promising imaging modality in the diagnosis of intrauterine pathologies associated with abnormal uterine bleeding due to its non-invasive nature and employability as a screening technique in diagnosing early endometrial neoplastic changes. Aim- To find out the role of hysteroscopy in diagnosing intrauterine pathology in patients with abnormal uterine bleeding. Objectives- To determine and evaluate efficacy of intrauterine pathology associated with abnormal uterine bleeding among premenopausal and post-menopausal women by hysteroscopy and to compare with histopathology. MATERIALS AND METHODS A hospital-based, descriptive study was conducted at Sri Venkateshwaraa Medical College, Hospital & Research Centre, Ariyur, Puducherry, among women with abnormal uterine bleeding attending Gynaecological Outpatient Department between October 2015 and July 2017. Patients included for the study were examined clinically after careful history taking and then routine blood investigations were done. After ruling out pregnancy, they were asked to come on day 7 to day 10 of menstrual cycle for hysteroscopy which was done under sedation. Later an endometrial sampling was done. RESULTS The study participants (N=60) were mostly middle aged people (mean age= 36.85 ± 5.6 years) with majority in the 31-40 years age group. Most of the study subjects were literates (68.3%), married women (73.3%) belonging to the upper socioeconomic class (66.7%). Menorrhagia (40%) followed by dysmenorrhoea (25%) and polymenorrhoea (18%) were the common symptoms complained by the patients. Majority of the AUB cases included in the study were detected to be normal endometrium (35%) followed by endometrial polyp (31.7%) and submucous myoma (30%). There was good concordance in diagnosis between hysteroscopy and histological verification. CONCLUSION The study established that hysteroscopy can be used as a reliable diagnostic method in evaluation of patients with abnormal uterine bleeding.
Authors and Affiliations
Abinaya Sankaran, Hiremath P. B, Urmi Sanyal
Keywords
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- EP ID EP277923
- DOI 10.14260/jemds/2017/1333
- Views 70
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