Study of Hysteroscopic Evaluation in Patients with Abnormal Uterine Bleeding
Journal Title: Indian Journal of Obstetrics and Gynecology - Year 2017, Vol 5, Issue 2
Abstract
Background and Aim: Abnormal uterine bleeding in premenopausal and postmenopausal women is the single most common reason for gynaecological referrals. Present study was done with an aim of Hysteroscopic Evaluation in Patients with Abnormal Uterine Bleeding. Methods: The study includes the patients attending gynaecology OPD at Gujarat Adani institute of medical science, Bhuj, Kutch, over a period of 18 months. Under anaesthesia, patient is placed in dorsal lithotomy position the sample size of the study includes 70 patients. The hysteroscope is inserted into the cervical canal and advanced into the uterine cavity through internal os under direct vision by manipulating along the axis of the canal. Endometrial cavity were visualised systematically. Any intrauterine pathology is looked for and endometrial samplings were taken from the abnormal sites for Histopathological examination. Results: Of the 70 patients majority, 11 (42%) had symptoms for more than 1 year, 45 patients (30%) had symptoms for 6 months to 1 year and 14 patients (28%) had symptoms for less than 6 months. Majority of the patients presented with menorrhagia. One of the most consistent findings in this study has been the detection of intra uterine Pathology like endometrial hyperplasia (17 cases, 18%), endometrial polyp (13 cases, 18%) and submucous myoma (3 cases, 5%) with 100% accuracy with hysteroscopy. Conclusion: Hysteroscopy was more sensitive in detecting endometrial polyp, submucous fibroid and endometrial hyperplasia but it was found less sensitive than curettage in detecting cancer and normal endometrium.
Authors and Affiliations
Gopal Hirani
Keywords
Related Articles
- EP ID EP457502
- DOI 10.21088/ijog.2321.1636.5217.9
- Views 121
- Downloads 0
The Use of Modified WHO Partogram in Assessing the Outcome of Labour in a Tertiary Care Centre of Karnataka
Background: Labour has been termed the most dangerous journey a human ever under takes Any failure to recognize such, would result in prolonged labour which may result in morbidity or mortality of both the mother & fetus...
Zika Virus and Pregnancy, What is Must to Know for an Obstetrician
The rapid spread of the Zika Virus (ZIKAV) infection, had become global threat to humanity and of the concern for all over the world. Data regarding ZIKAV in pregnancy are very less, mainly from case reports that show of...
Comparison between Intracervical Misoprostol (200mcg) and EXTRA Amniotic 20% Mannitol (100ml) + Carbeprost (250 mcg) in Second Trimester Abortions Upto 20 WK
Objectivewe aim to evaluate another safe method for second trimester abortions upto 20wk of gestation. Methods: this is a prospective study of 40 patients undergoing termination of pregnancy upto 20 wk in Geetanjali medi...
A Study on Assessment of Blood Loss in Third Stage of Labour Using Vaccum Retraction Cannula
Objective: To compare the effects of AMTSL only, AMTSL without uterine massage, AMTSL with vacuum retraction cannula in prevention of post partum hemorrhage and to compare the effectiveness of vacuum retraction cannula w...
Evaluation of Coagulation Disturbances in Patients with Polycystic Ovary Syndrome
Background: Polycystic ovarian syndrome (PCOS) patients are prone to develop insulin resistance with compensatory hyperinsulinemia, dyslipidemia, hypertension, and obesity. There is evidence that plasma levels of several...