See and Treat Hysteroscopy in Evaluation and Management of Abnormal Uterine Bleeding: Our Experience at a Rural Teaching Hospital of Chhatisgarh
Journal Title: Journal of Medical Science And clinical Research - Year 2017, Vol 5, Issue 9
Abstract
Abnormal uterine bleeding is a common clinical presentation in gynaecology OPD .it amounts to 35% of gynae OPD visits and 25% of gynaecological surgeries and this incidence rises to 65% in peri and postmenopausal age(1) Traditionally sonography and D&C have been standard methods for diagnostic evaluation of AUB and hysterectomy the sole method of treatment. this study outlines the place of hysteroscopy and its role in evaluation and management of AUB . The use of D&C for evaluation of the uterine cavity in cases of AUB is an inaccurate method for diagnosing most common pathologic conditions associated with menorrhagia like endometrial polyps, Submucous myomas, and focal endometrial abnormalities including adenocarcinoma Hysteroscopy enables see and treat option as the intracavitary pathology can be seen and biopsied and also removed if localized lesion. Hysterectomy as a treatment option for all cases of AUB is no longer accepted either by patients or by service providers and more and more methods of conservative surgical options or nonsurgical options are being explored .for which accurate diagnosis is a must and also malignancy has to be ruled out with considerable surety. hysterectomy is a major surgical procedure with its associated morbidity and cost associated with it and if uterus is not at fault is an overtreatment for those pathologies which can be treated with much simpler and minimally invasive treatment options like hysteroscopic procedures. Use of hysteroscopy and directed biopsy ensures the recognition as well as removal of these intracavitary lesions. in most cases of endometrial polyps and submucous myomatous polyps there is considerable reduction in bleeding after hysteroscopic removal of these lesions and if no associated endometrial pathology found then hysterectomy can be avoided in these women .thus hysteroscopic management helps in both diagnosis as well as management of a considerable no. Of women with AUB .and helps in reducing unnecessary hysterectomies.
Authors and Affiliations
Naik Meena MD, MRCOG
Keywords
Related Articles
- EP ID EP528576
- DOI -
- Views 70
- Downloads 0
A correlation study for detection of Left Atrial Enlargement of patients with cardiac and non cardiac disease: A hospital based study
Objective: Our study was to detect the prevalence and correlation of echocardiography and ECG finding of left atrial enlargement of patients with cardiac and non cardiac disease. Methodology: A total of 75 patients were...
Isolated Fracture of the Trapezium: A Case Report
Trapezium fractures are rare injuries which should not be taken casually. We report a case of a 30 year old left hand dominant housewife who sustained a left sided closed transverse trapezium fracture without any carpome...
CML Masquerading as Infective Endocarditis
23 years young male patient, who is a known case of rheumatic heart disease with prosthetic AV valve, on chronic anticoagulation therapy, came with history of fever on and off since 1 month. Physical examination revealed...
Case Series of Pyoderma Gangrenosum Successfully Managed with Biological Dressing
Introduction: The management of recalcitrant vasculitic ulcers of pyoderma gangrenosum (PG) still lacks an ideal challenging topical agent which promotes optimum healing with negligible side effects. Current scenario of...
Partial Trisomy 18 in a Newborn Born to Retro Positive Parents- A Case Report
The patient was a dysmorphic newborn born to retropositive parents while the mother was on ART and needed resuscitation after birth. The child was lethargic since birth and had respiratory distress. Investigations reveal...