Assessment of postmenopausal bleeding cases with hysteroscopy
Journal Title: Medpulse International Journal of Gynaecology - Year 2019, Vol 9, Issue 2
Abstract
Background: Early evaluation of PMB cases is very essential as an endometrial carcinoma when fortunately detected at an early stage can be cured with less morbidity and mortality. Aim: To assess the postmenopausal bleeding cases with hysteroscopy. Material and Methods: Diagnostic hysteroscopy was done in 50 cases of postmenopausal bleeding women in whom ET ≥4mm on transvaginal sonography. Sensitivity and specificity of hysteroscopy were calculated. Endometrial biopsy was considered as the gold standard. Results: The sensitivity and specificity of hysteroscopy for the cases of endometrial hyperplasia, endometrial polyp and submucous fibroid were 100% except in case of atrophic endometrium which was slightly less. Conclusion: Hysteroscopy is a gold standard especially in high risk patients and represents an easy, safe and effective means to investigate postmenopausal women with a thickened endometrium found on TVS.
Authors and Affiliations
Ishrath Fatima, Roohi Mushtaque Shaikh
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