Endometrial Aspiration Using MVA Syringe in Dysfunctional Uterine Bleeding

Abstract

Background: Dysfunctional uterine bleeding is a diagnosis of exclusion. Histopathological examination of endometrial aspiration is an important diagnostic tool in evaluating of DUB and a specific diagnosis could help the one to plan medical treatment and avoid unnecessary surgical intervention. This study was aimed to evaluate the endometrial Pattern in women of reproductive age presenting with DUB. Methods: Endometrial aspiration was done in the outpatient department without anaesthesia, on 110 women presenting with symptoms of dysfunctional uterine bleeding. Results: Histopathological examination of endometrial tissue showed a wide variety of endometrium ranging from normal endometrium to malignancy. Proliferative endometrium (42.72%) is the most common endometrial pattern seen in the reproductive age group followed by secretory endometrium (29.10%). The leading pathological finding in this study was endometrial hyperplasia in 26%. Endometrial carcinoma was present in 1.8% whereas tubercular endometritis was detected in 0.91% only. Conclusion: 71.82 % of women were found to have physiological endometrium. Thus, specific hormonal therapy was given to them. Endometrial aspiration by MVA syringe is a safe and effective office procedure and can be done in low resources setting.