Abstract: Background: During the last many years, hysteroscopy has become the gold standard while evaluating the vagina, cervix, cervical canal, and uterine cavity. It is the process of viewing and operating in the endometrial cavity from a transcervical approach, offering the advantage of direct visualization of the uterine cavity while giving the option of collecting histological biopsy samples under visual control. Some of the common indications for hysteroscopy have been in the evaluation of abnormal uterine bleeding, infertility, recurrent pregnancy losses, uterine anomalies and suspected Asherman's Syndrome.
Aims and Objectives: To assess the effectiveness and safety of screening, diagnostic and therapeutic hysteroscopy in sub-fertile, infertile, premenopausal and postmenopausal patients.
Material and Methods: A total of 50 patients were included in the study.
Results: Maximum number of women belonged to 25-35 years age group. A total of 5(10%) women found to be in elderly age group i.e. between 66-75 years. Mean age of the study population was 37.04±14.59 years. Majority of women were suffering from heavy menstrual bleeding and uterine septum i.e. 7(14%) each followed by endometrioma with fibroid, Asherman's syndrome i.e. 6(12%) women. Recurrent abortions, ovarian cyst, endometrial hyperplasia and submucous fibroid were observed in 2(4%) women, respectively.
Conclusion: Hysteroscopy has replaced blind diagnostic procedures and is now considered the gold-standard technique for the diagnosis and management of intrauterine pathology. We recommend that Gynecologists in clinical practice should be familiar with the use of hysteroscopy in the diagnosis and treatment of the sub-fertile, infertile, premenopausal and postmenopausal patients.
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