Background: Abnormal uterine bleeding (AUB) is defined as any type of bleeding in which the duration, frequency or amount is excessive for an individual patient. It is a common reason for women of all ages to consult their gynaecologist and is the direct cause of a significant health care burden for women, their families and society as a whole. It affects 10-30% of reproductive age women and upto 50% of perimenopausal women. It is responsible for more than one-third of gynecologic consultations and nearly two-thirds of hysterectomies.
Aim and Objectives: The purpose of this study is to evaluate the diagnostic accuracy of TVS in the evaluation of abnormal uterine bleeding.
Material and Methods: This Prospective Observational study was conducted in the Department of Obstetrics and Gynaecology, Durgabai Deshmukh Hospital and Research Centre, Vidyanagar, Hyderabad over the period of one year between July 2018 to June 2019. Patients with clinical diagnosis of AUB satisfying the inclusion criteria were selected at random from the Gynaecology Out Patient Department of the hospital.
Result: Most common uterine pathology detected by USG was thickened endometrium consisting of 58.75% cases and most common histopathological finding was of endometrial polyp which was observed in 38.75% cases. In the diagnosis of any endometrial pathology, transvaginal ultrasonography had a sensitivity of 96.49%, specificity of 43.48%, PPV of 80.88%, NPV of 83.33% and accuracy of 81.25%.
Conclusion: It can be concluded that TVS can detect endometrial abnormalities with varying accuracies and can supplement in enhancing the accuracy of tissue diagnosis.