Role of Hysteroscopy in Evaluation of Abnormal Uterine Bleeding –Time to Revolutionize
Journal Title: International Journal of Medical Science and Innovative Research (IJMSIR) - Year 2019, Vol 4, Issue 7
Abstract
Abnormal Uterine Bleeding is one of the most common gynaecological complains for which patient visit to gynaecologist. Some time it become difficult for a clinician to come to a exact diagnosis of the condition. Hysteroscopy provides a simple & easy method for visualization of the cervical canal & uterine cavity. It is also used for treating different kinds of benign pathologies. This study was done with the aim of evaluating the accuracy of hysteroscopy in abnormal uterine bleeding cases and to correlate hysteroscopic findings with histopathological findings. A total of 100 patients were included in the study. Women with pregnancy/Abortions/Ectopic pregnancy, Uterine and cervical infections and pelvic inflammatory diseases (PID), STD’s and vaginitis, Diagnosed cases of Lower genital tract malignancies were excluded from the study. A total of 50 patients were included in the study. Age group of the patients ranged from 20-55 years and the higher prevalence of AUB was seen in the age group 41 to 50years. Menorrhagia 44% (22) was the most typical presentation. Hyperplastic endometrium present in 30% , followed by Polyp in 28% cases. Accuracy of hysteroscopy in diagnosing intrauterine pathology is 96%. Conclusion Hysteroscopy is a safe, simple, quick and economic technique, well-accepted by the patient, with great potential in gynecology. Hysteroscopic-guided biopsy and histopathology are considered as the “new gold standard” in evaluating a case of abnormal uterine bleeding.
Authors and Affiliations
Dr. Farendra Bharadwaj
Keywords
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