A clinical study of diagnostic hysteroscopy in abnormal uterine bleeding and its histopathological correlation

Kumaresan, Shanmugapriya; Perumal, Devika

doi:10.18203/2320-1770.ijrcog20180057

Cited by 2 publications

(4 citation statements)

References 2 publications

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“…European society of human reproduction and embryology conducted a study on hysteroscopy with endometrial biopsy and thus concluded that the hysteroscopy with endometrial biopsy is the "Gold standard" to investigate abnormal uterine bleeding [19][20][21][22] . Dilatation and curettage was considered as obsolete because it is a blind procedure with a complication rate of 6% to 8% and low sensitivity for local and pedunculated intracavitary lesions [9,16] . The Lesions were more accurately visualized through hysteroscopy therefore biopsy can be done simultaneously.…”

Section: Discussionmentioning

confidence: 99%

“…Multiparous, nulliparous and grand multiparous 3. Patients did not require emergency treatment [16] Exclusion criteria 1. Patients with profuse bleeding and large fibroids or multiple fibroids.…”

Section: Methodsmentioning

confidence: 99%

“…2. Cases having genital tract infection and genital tract malignancies [16] DOI:10.21276/SSR-IIJLS.2019. Before proceeding to hysteroscopy, the investigations were done, including PAP smear, vaginal bacteriologic tests, haemograms [17] .…”

Section: Methodsmentioning

confidence: 99%

“…Dilation and Curettage (D&C) are traditionally used to evaluate abnormal uterine bleeding. It is a blind procedure and the endometrium is transported to pathologist for the analyses of histological patterns and reporting [1,16] . The procedure completely depends on co-operation of the pathologist to get outcomes; therefore the procedure is believed to be less accurate.…”

Section: Introductionmentioning

confidence: 99%

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A Study on Hysteroscopy as a Primary Diagnostic Modality in Patients of Abnormal Uterine Bleeding

Misra¹,

Chandravati²

2019

SSR-IIJLS

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Background: Among women, abnormal uterine bleeding and infertility rates are rapidly increasing. The clinician generally prefers physical examination, methodical histopathology report to diagnose the pregnancy related disorders, systemic conditions and disease related to the genital tract. Diagnostic hysteroscopy is a precious contrivance to diagnose widespread disorders and diseases related to female genital tract and uterus, such as abnormal uterine bleeding since hysteroscopy assists to understand the mechanism for the regulation of normal cycle. Methods: The study had been carried out in the Department of Obstetrics and Gynecology, Krishna Medical Center, Lucknow from September 2012 to July 2017. Total of 400 patients were included in this randomized study. The study allocated histopathologic analysis, diagnostic hysteroscopy, intervention with or without anesthesia and postoperative diagnosis of patients. Results: Of all the cases, who underwent diagnostic hysteroscopy, about 44% of cases were normal and 56% of cases were found with various abnormalities. 22% of cases had endometrial hyperplasia, 11% of cases had an endometrial polyp, 10% of cases had submucous myoma and 9% of cases had atrophy. On observing the clinical presentation, 42% of cases had menorrhagia, 20% of cases had polymenorrhoea, 16% of cases had metorrhagia and 22% of cases had reported with postmenopausal bleeding. About 60% of diagnostic hysteroscopies were performed without anesthesia, however, an ascending trend was reported for general anesthesia. Primary infertility was reported in 44% of cases and 56% of cases were reported with secondary infertility. Conclusion: Our study concluded that the patients with pregnancy-related disorders and disease related to the genital tract and uterus should first undergo diagnostic hysteroscopy to provide a diagnosis with high accuracy and specificity.

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Section: Discussionmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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A Study on Hysteroscopy as a Primary Diagnostic Modality in Patients of Abnormal Uterine Bleeding

Misra¹,

Chandravati²

2019

SSR-IIJLS

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Histopathological Pattern of Endometrial Biopsies in Patients with Abnormal Uterine Bleeding

Ranjan

Kumar

Gore

et al. 2022

Medical Journal of Dr. D.Y. Patil Vidyapeeth

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Introduction: Abnormal uterine bleeding (AUB) is bleeding from the uterus that is longer than usual or that occurs at an irregular time. Bleeding may be heavier or lighter than usual and may occur often or randomly. In most women, AUB is caused by a hormone imbalance. Any woman over the age of 40 years with menorrhagia or any other forms of abnormal vaginal bleeding should undergo a gynaecological check and an endometrial biopsy as indicated, in order to detect a potentially treatable cause as atypical endometrial hyperplasia and early endometrial carcinoma. The present study was done on women with AUB to evaluate the histopathological patterns in endometrial biopsy among different age groups. Materials and Methods: A cross-sectional study was carried out in Department of Pathology, Dr. D.Y. Patil Medical College, Hospital and Research Centre, Pimpri, Pune. The clinical history and findings of 100 patients were collected and recorded. Histopathological study of endometrial patterns and age specific correlation was done. Results: Out of a total of 100 patients of AUB, 72 of them had a functional cause and the remaining 28 patients revealed an organic cause. The mean affected age was 40 years with youngest being 21 years old and the oldest patient was 57 years of age. Functional causes constituted 72% and organic lesions were seen in 28% out of which Proliferative phase endometrium was the most common functional lesion observed while endometrial hyperplasia was the commonest organic pathology seen. P value was calculated as <0.008 which was significant using chi square for trend seen in age. Conclusion: Histopathological examination of endometrial biopsy in patients of AUB is considered as a gold standard of patient evaluation, diagnosis and management and avoids any future complications.

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A clinical study of diagnostic hysteroscopy in abnormal uterine bleeding and its histopathological correlation

Cited by 2 publications

References 2 publications

A Study on Hysteroscopy as a Primary Diagnostic Modality in Patients of Abnormal Uterine Bleeding

A Study on Hysteroscopy as a Primary Diagnostic Modality in Patients of Abnormal Uterine Bleeding

Histopathological Pattern of Endometrial Biopsies in Patients with Abnormal Uterine Bleeding

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