Abstract: Background and Aim:
Use of hysteroscopy in abnormal uterine bleeding is almost replacing blind curettage, as it “sees” and “decides” the cause. Aim of current study was to evaluate the role of hysteroscopy as a screening method in patients with AUB as compared to their USG findings and to the histopathological reports of the endometrial biopsy.
Material and Methods: This is an observational study conducted at tertiary healthcare centre over a period of 12 months in 100 females in pre, peri and post-menopausal age group. Sampling was done based on selection criteria after obtaining valid consent from the study group. Obstetric history was noted. This was followed by detailed general examination and systemic examination. All 100 patients with complaint of abnormal uterine bleeding were first evaluated with sonography followed by hysteroscopy and dilatation and curettage. The pathological findings were then correlated with ultrasound finding and diagnosis by hysteroscopy.
Results: The most common presenting complaint according to this study was menorrhagia which contributed to 42%, this was followed by polymenorrhagia (18%) and dysmenorrhea (12%). Hysteroscopy has a definitive role in evaluation of patients presenting with abnormal uterine bleeding with high sensitivity, specificity, PPV and NPV with immediate results. Endometrial hyperplasia was found to be the most common cause of AUB which was followed by endometrial polyp.
Conclusion: Hysteroscopy is a safe, reliable and quick procedure in the diagnosis of cases with abnormal uterine bleeding with high sensitivity, specificity and negative predictive value. Hysteroscopy and histopathology complement each other in the evaluation of patient with abnormal uterine bleeding thus helping in further treatment of patients presenting with abnormal uterine bleeding as the accuracy of diagnosis in finding the cause of abnormal uterine bleeding is more.