A single centre cross sectional study to find the role of diagnostic hysteroscopy and its relation with histopathology in abnormal uterine bleeding

Abstract

Background: Abnormal uterine bleeding is any bleeding from uterus that is abnormal in volume, regularity and/or timing that has been present for the majority of the last 6 months [1] . Dilatation and curettage has long been gold standard for abnormal uterine bleeding but Hysteroscopy helps in direct visualization of the endometrial cavity and directed endometrial biopsy. The objective of this study was to find the accuracy of hysteroscopy in evaluation of abnormal uterine bleeding and to correlate and compare hysteroscopy findings with histopathology findings. Material and Method: A cross sectional study carried out in department of obstetrics and gynecology MGM medical college and MY hospital Indore India, on 90 married females with age more than 25 years with abnormal uterine bleeding who underwent Hysteroscopy, endometrial sampling and histopathological analysis with consent. The hysteroscopic and histopathologic findings obtained were compared. Study conclusion:The final results obtained showed a sensitivity and positive predictive value of 100% & 91.17 % respectively for hysteroscopy. Hysteroscopy is an accurate and feasible investigation for evaluating various causes of abnormal uterine bleeding especially endometrial pathologies. No complications related to the procedure were observed. Hysteroscopy was found to be 100% sensitive and 78% specific for AUB.