Role of hysteroscopy in abnormal uterine bleeding and its histopathological correlation

Abstract

Background: Abnormal uterine bleeding (AUB) is the regularly experienced gynecological issue. The goal was to survey the accuracy of demonstrative hysteroscopy in assessment of abnormal uterine bleeding and to correspond hysteroscopic discoveries with histopathology reports. Materials and Methods: One hundred and twenty cases were chosen for this investigation from patients of age 20 -60 years, who were conceded with the historical backdrop of abnormal uterine bleeding. Hysteroscopic examination was done in all patients post-menstrually, at whatever point conceivable, aside from in those situations where menstrual cycles were irregular or patients accompanied nonstop bleeding per vaginum. The patients at that point experienced dilatation and curettage. The endometrium was sent for histopathological examination. The connection between discoveries on hysteroscopy and histopathological examination was organized. Result: AUB was more common in patients of age 32-40 yrs. The most widely recognized complaint was Menorrhagia. On hysteroscopy 55% of patients had some anomaly which incorporates: endometrial hyperplasia, polyps, submucous myoma, endometrial atrophy, endometrial carcinoma, misplaced IUCD, and synechiae comprising and tubercular endometritis. Hyperplasia was the most widely recognized discovery which was seen in 24% patients. 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 uncovered more data than curettage. Conclusion: Hysteroscopy is an eye in uterus and it gives more exact conclusion than dilatation and curettage alone in patients with anomalous uterine bleeding.