Abstract

A STUDY TO ASSESS THE DIAGNOSTIC ACCURACY OF HYSTEROSCOPY IN PRE AND POSTMENOPAUSAL WOMEN WITH ABNORMAL UTERINE BLEEDING

Shivangi Khunger, Kumkum Avasthi, Supriti Kumari*, Sunil Garg, Nitin Tyagi, Gaurav Anand, Bhaskar Charana Kabi and Jagdish Prasad

ABSTRACT

Background: Abnormal uterine bleeding is one of the most common complaints that brings a woman to the gynecologist. Key to successful clinical management of AUB is to identify the cause behind it for which proper evaluation of the case is required. Objectives: This study was done to diagnose the cause of AUB and to assess the diagnostic accuracy of hysteroscopy and TVS and their correlation with the histopathology of endometrium. Methods: In this study 70 women with AUB were selected as they presented in OPD. After evaluation of clinical presentation, general, systemic and local examination, ultrasonography and hysteroscopy or D&C were performed on every patient and endometrial curetting were sent for histopathology. Results: We concluded that TVS is a simple and non-invasive technique and can be used as a first line diagnostic screening test but it may miss small lesions like polyps, submucous myomas. Hysteroscopy has an advantage of targeted biopsy. Concluison: TVS and hysteroscopy are complimentary to each other as TVS has better efficacy for uterine lesions and hysteroscopy has better efficacy for intracavitory lesions. The places where hysteroscopy is not available D&C still remains the diagnostic and therapeutic modality for AUB.

Keywords: gynaecologist, submucous myomas.