Background: Abnormal endometrium is an important entity of gynecological practice faced in many pathological conditions. The goal was to survey the accuracy of observational hysteroscopy in assessment of endometrial pathology and to corresponding hysteroscopy findings with histopathology results.
Objective: To establish the diagnostic value of hysteroscopy in assessment of endometrial pathology and to relate hysteroscopy judgments to histopathological judgments.
Patients and Methods: A cross sectional study conducted at Al-Elwiya Maternity Teaching Hospital in Baghdad from the 1st of January 2017 to 1st of June 2019, 100 cases were chosen within the age 25 -58 years, who were with history of abnormal uterine bleeding or abnormal endometrium or infertility. Hysteroscopic examination was done in all patients post menstrually. The endometrium was sent for histopathological examination. The correlation between hysteroscopic findings and histopathological examination was organized.
Result: AUB was more common in patients of age 32-49 yrs. The most widely recognized complaint was Menorrhagia. On hysteroscopy 82% of patients had some anomaly which incorporates: endometrial hyperplasia, polyps, sub mucous myoma, endometrial carcinoma, misplaced IUCD and synechiae. Both hysteroscopy and curettage were precise when a variation from the norm was analyzed, yet the capacity to determine a lesion was more with hysteroscopy in contrast with curettage. Hysteroscopy discovered more data than curettage.
Conclusion: Hysteroscopy is an eye in uterus and it gives more exact details than dilatation and curettage alone in patients with abnormal uterine bleeding and other endometrial problems.