Role of transvaginal sonography and diagnostic hysteroscopy in abnormal uterine bleeding

The patients who attended to KIMS OPD with the complaints of Abnormal Uterine Bleeding (AUB) are enrolled in this study after written and informed consent. 60 of the patients who met the required criteria are subjected to relevant clinical examination and investigations. Local causes of bleeding were excluded in these patients. These patients were subjected to TVS and Hysteroscopic examination respectively. Results: In the present study, transvaginal ultrasound showed an accuracy of 83.3% in detecting the proliferative phase and 66.67% in detecting the secretory phase. TVS has a sensitivity of 0% for a local lesion of endometrial cavity which is in accordance with the study by the others, who concluded that endometrial thickness evaluated by TVS was preferable but not sensitive enough to exclude endometrial pathology. Conclusion: Both TVS and hysteroscopy can detect endometrial intracavitary abnormalities with varying accuracies. These can supplement and enhance the accuracy of tissue diagnosis. Thus the first procedure to which patients with AUB are to be subjected should be TVS followed by hysteroscopy and hysteroscopically directed biopsy, wherever required.