Hysteroscopic evaluation of endometrial lesions in women presenting with abnormal uterine bleeding (AUB)

Abstract

Background & Objectives: Abnormal uterine bleeding is the most common complaint in gynecology and an important source of morbidity. This study evaluates the role of diagnostic hysteroscopy in the evaluation of Abnormal Uterine Bleeding in women of reproductive age group and its histopathological correlation. Methods: 63 patients with AUB who got admitted at MMMCH, Kumarhatti, Solan in the Department of Obstetrics and Gynaecology were subjected to transvaginal sonography, hysteroscopy and hysteroscopy guided endometrial sampling. Histopathological analysis of the endometrial sample obtained. The hysteroscopy findings were correlated with the histopathology report. Results: AUB was more common in 40-49 yrs. The most common presenting complaint was heavy menstrual bleeding. Hysteroscopy was done successfully in all the patients. Abnormalities seen were endometrial polyps, leiomyomas, thick and thin endometrium on TVS. On hysteroscopy we found polypoidal and atrophic endometrium, endometrial polyp, submucosal fibroid. Hysteroscopy was found to be 100% sensitive and specific in diagnosis of endometrial lesions in many conditions. The positive predictive value was 100% for hysteroscopy in diagnosis of endometrial lesions. Conclusion: We conclude that hysteroscopy is an accurate and a feasible investigation in evaluating patients with abnormal uterine bleeding and should always be incorporated as a routine for evaluating endometrial lesions along with sampling.