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Evaluation of diagnostic hysteroscopy in screening of abnormal uterine bleeding

Author: 
Dr. Kanupuru Manaswini, Dr. Smitha, M., Dr. Blessy John, Dr. Saraswathi, K. and Dr. Johnson, W.M.S.
Subject Area: 
Health Sciences
Abstract: 

Introduction: Abnormal Uterine Bleeding is a common phenomenon among women of reproductive age group. However, a thorough evaluation is often necessary to rule out serious conditions of the reproductive system. This study was done to evaluate the validity of diagnostic hysteroscopy in Abnormal Uterine Bleeding. Methods: This cross sectional study was done on 50 patients who presented with Abnormal Uterine Bleeding. Each participant underwent panoramic hysteroscopy and subsequent curettage. The curetted endometrium was sent for histopathological examination. Results: The age group of the patients ranged from 20-60 years. Most of the patients (42%) had symptoms for more than 1 year and most common presenting symptom was Memorrhagia (46%) and Postmenopausal bleeding (32%).Hysteroscopy reported 27 patients (54%) as negative view and 23 patients (46%) as abnormal view. Endometrial hyperplasia (20%) was the most common abnormality, followed by endometrial polyp (14%). The Sensitivity and Specificity for Hysteroscopy was 91.66%, 96.15% respectively and for curettage was 79.16%, 96.15%respectively. Conclusion: The most consistent finding has been the detection of thickened endometrium of various types like simple, cystoglandular, adenoglandular hyperplasia, endometrial polyp and sub mucous myomas with 100% accuracy using hysteroscopy. Hysteroscopy revealed more information than curettage. Hysterscopy may be used as a valid screening tool for diagnosis of Abnormal Uterine Bleeding.

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