Journal of Gynecological Endoscopy and Surgery
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ORIGINAL ARTICLE
Year : 2009  |  Volume : 1  |  Issue : 2  |  Page : 98-104

Role of diagnostic hysteroscopy in abnormal uterine bleeding and its histopathologic correlation


1 Senior Resident, Department of Obstetrics and Gynecology, Datta Meghe Institute of Medical Sciences, Wardha - 442 004, Maharashtra, India
2 Professor, Department of Obstetrics and Gynecology, Datta Meghe Institute of Medical Sciences, Wardha - 442 004, Maharashtra, India
3 Associate Professor, Department of Obstetrics and Gynecology, Datta Meghe Institute of Medical Sciences, Wardha - 442 004, Maharashtra, India

Correspondence Address:
Neema S Acharya
Associate Professor, Department of Obstetrics and Gynecology, Datta Meghe Institute of Medical Sciences, Wardha - 442 004, Maharashtra
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/0974-1216.71617

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Aims and Objectives: To study the accuracy of hysteroscopy in evaluation of abnormal uterine bleeding and to correlate hysteroscopic findings with histopathologic findings. Materials and Methods : A prospective study was carried out in the Department of Obstetrics and Gynecology at AVBRH and JNMC, Sawangi (M), Wardha, from May 2006 to September 2008. One hundred cases were selected for this study from patients of age group 18 and above, who were admitted with the history of abnormal uterine bleeding. Hysteroscopic examination was done in all patients post-menstrually, whenever possible, except in those cases where menstrual cycles were grossly irregular or patients came with continuous bleeding per vaginum. The patients then underwent dilatation and curettage and endometrium was sent for histopathologic examination. The correlation between findings on hysteroscopy and histopathologic examination was tabulated. Results : Following were the findings on hysteroscopy: proliferative 34%, secretary 16%, hyperplasia 18%, atrophic 8%, endometrial polyp 9%, submucous myoma 11%, carcinoma of endometrium 03%, misplaced Cu-T 1%. Conclusion: In patients with abnormal uterine bleeding, hyster­oscopy provides more accurate dia­gnosis than dilatation and curettage.


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