Hysteroscopy for Abnormal Uterine Bleeding

Abstract

Abnormal Uterine Bleeding is one of the most common complaints of the women attending gynec OPD which
requires proper endometrial cavity evaluation. Hysteroscopy has been shown to be highly accurate in diagnosing
abnormalities of the endometrial cavity, tubal ostia, and endocervical canal. The aim of the study is to evaluate the
feasibility of hysteroscopy in abnormal uterine bleeding and correlate the findings of hysteroscopy with histological
findings. Methods : The present study “Hysteroscopy for Abnormal Uterine Bleeding“ is a prospective study,
carried out from July 2016 to February 2018 at our institute, V.S. General Hospital, Ahmedabad and 60 cases were
taken up for the study. The results of hysteroscopy and endometrial histology were s2tudied and analyzed.
Results : The most common complaint was menorrhagia (17 cases, 28.33%) followed by menometrorrhagia.
Abnormal findings were seen in 46 patients (76.66%). The most common abnormality was hyperplasia of
endometrium (31.66%). Out of 60 patients of our study who underwent Hysteroscopy and subsequent curettage,
96.66% histopathological findings correlating with hysteroscopy. Conclusions : Hysteroscopy is a safe, reliable
and quick procedure to evaluate the endometrial cavity in patients presented with abnormal uterine bleeding. As
Hysteroscopy provides direct visualization of cervix, uterine cavity and cornual openings, it is much better than
dilatation and curettage.