A Study of the Role of Hysteroscopy in Abnormal Uterine Bleeding

Background: Abnormal uterine bleeding(AUB) is a common gynecologic complaint. Some authors recommend endometrial sample in diagnosing AUB by pipelle method and hysteroscopy. However, this need more investigations to be proven. The aim of the study was to compare between the histopathological findings of Pipelle endometrial biopsy, office hysteroscopy and dilatation and curettage (D&C) (the gold standard). Methods: This cross-sectional study was carried out in outpatient clinic of Obstetrics

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“…This study disagree with Garg et al [16] who found that endometrial polyps were the most common cause of AUB.…”

Section: Resultscontrasting

confidence: 97%

“…On the contrary, Garg et al [16] showed that hysteroscopy in diagnosis of endometrial hyperplasia to have low accuracy, sensitivity, and specificity of 71%, 54.55%, and 97.96%, respectively, which was least among all pathologies.…”

Section: Resultsmentioning

confidence: 98%

Office Hysteroscopy and Pipelle Endometrial Biopsy versus Diltation and Curettage in Diagnosis of Endometrial pathology in women with perimenopausal bleeding.

Abdelmageed¹,

Abdo²,

beheidy³

et al. 2019

Zagazig University Medical Journal

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“…Similar findings were also observed by Guin et al and Sunitha et al 23,24 Garg et al in their study of 60 cases, observed menorrhagia in 43% of the cases (n=26) of patients while polymenorrhagia and postmenopausal bleeding in 23.3% (n=14) and 13.33% (n=8) of the cases respectively. 19 Sinha et al observed 66.1% AUB cases being presented as menorrhagia, 30.4% as polymenorrhoea, and 3.6% as intermenstrual bleeding. 25…”

Section: Presenting Complaintsmentioning

confidence: 96%

“…Similar observations were also made by other authors. [14][15][16][17][18][19] Panda et al found that the maximum age incidence was between 35-45 years with a mean age of 46.7 years. 20 In Gianninoto's series, the age range was 30-80 years and the commonest incidence was between 30-45 years (mean age was 43.3 years).…”

Section: Demographymentioning

confidence: 99%

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Efficacy of ultrasonography for structural categorisation of abnormal uterine bleeding

Rathi

Wagh

2021

Int J Reprod Contracept Obstet Gynecol

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Background: Abnormal uterine bleeding (AUB) is defined as bleeding from the uterine corpus endometrium to be precise, the bleeding is abnormal in regularity, volume, frequency, or duration. The international federation of gynecology and obstetrics (FIGO) categorized AUB based on structured medical history, laboratory tests, ultrasound, and or hysteroscopy-based techniques.The classification is based on the phrase "PALM- COEIN", (pronounced “pahm-koin”) of which "PALM" represents polyp, adenomyosis, leiomyoma, malignancy (and hyperplasia) and defines structural pathologies that can be assessed visually. Transvaginal ultrasound (TVS) is the first-line imaging test for the evaluation of abnormal uterine bleeding in both premenopausal and postmenopausal women. The purpose of this study was to estimate the diagnostic effectiveness of two-dimensional ultrasound (TAS and TVS) in assessing the structural causes of AUB and to compare the histopathological and intraoperative findings with ultrasound.Methods: It was a prospective observational study. A total of 200 women presenting with abnormal uterine bleeding between the age group of 18-55 years were included in study. All patients were subjected to routine investigations for AUB and ultrasonography (USG). Wherever appropriate the findings of USG were compared with intra-operative and histopathology findings.Results: Diagnostic accuracy of USG was 78.1% with sensitivity and specificity of 88.5% and 60%. Positive predictive value (PPV) and negative predictive value (NPV) was 79.4% and 75%. USG is a simple, safe, fast, efficient and tolerable procedure. In diagnosing structural uterine pathology responsible for abnormal uterine bleeding, it has outstanding diagnostic accuracy and should be followed in all such cases.Conclusions: We cannot be definitive in our approaches always, USG act as a wonderful modality to help us not only in identifying the structural causes but also the functional causes. However, the gold standard of identifying endometrial pathology is histopathology and it can’t be replaced by anything.

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Diagnostic hysteroscopy in assessing patients with abnormal uterine bleeding: An observational study

Patel¹,

Patel²

2022

Int. J. Clin. Obstet. Gynaecol.

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A Study of the Role of Hysteroscopy in Abnormal Uterine Bleeding

Cited by 3 publications

References 4 publications

Office Hysteroscopy and Pipelle Endometrial Biopsy versus Diltation and Curettage in Diagnosis of Endometrial pathology in women with perimenopausal bleeding.

Office Hysteroscopy and Pipelle Endometrial Biopsy versus Diltation and Curettage in Diagnosis of Endometrial pathology in women with perimenopausal bleeding.

Efficacy of ultrasonography for structural categorisation of abnormal uterine bleeding

Diagnostic hysteroscopy in assessing patients with abnormal uterine bleeding: An observational study

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