International Journal of Clinical Obstetrics and Gynaecology
2019, Vol. 3, Issue 6, Part D
Comparison of evaluation of postmenopausal bleeding between transvaginal sonography, hysteroscopy and histopathology
Author(s): Nisha E and Dr. Sunitha HB
Abstract: Transvaginal sonography and hysteroscopy were compared with the histopathological results of the biopsies in 100 women with postmenopausal bleeding in Thanjavur medical college. They underwent transvaginal ultrasound and hysteroscopy. Hysteroscopy directed biopsy was taken. TVS and hysteroscopy was compared with histopathology. Women of all parity were included. Most women were 1-5years post-menopausal. 23% women had associated co morbid illness in the form of 10% obesity, 8% hypertension, 5% diabetes mellitus. When endometrial thickness of > 4mm was taken to define endometrial abnormality sensitivity of 86.36%, specificity 42.30%, positive predictive value 29.68 %, negative predictive value 91.66% was obtained. When accuracy of Hysteroscope was compared with HPE sensitivity 90.90%, specificity 91.02%, PPV 74.07%, NPV 97.26%. Both transvaginal ultrasound and hysteroscopy can be used to evaluate post-menopausal bleeding. Hysteroscopy correlates more with histopathology when compared with transvaginal ultrasound. Hysteroscopy is superior and has higher efficacy in diagnosing endometrial abnormality in women with post-menopausal bleeding.
Nisha E, Dr. Sunitha HB. Comparison of evaluation of postmenopausal bleeding between transvaginal sonography, hysteroscopy and histopathology. Int J Clin Obstet Gynaecol 2019;3(6):235-239. DOI: 10.33545/gynae.2019.v3.i6d.422
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