Study of Hysteroscopic Evaluation in Patients with Abnormal Uterine Bleeding
Journal Title: Indian Journal of Obstetrics and Gynecology - Year 2017, Vol 5, Issue 2
Abstract
Background and Aim: Abnormal uterine bleeding in premenopausal and postmenopausal women is the single most common reason for gynaecological referrals. Present study was done with an aim of Hysteroscopic Evaluation in Patients with Abnormal Uterine Bleeding. Methods: The study includes the patients attending gynaecology OPD at Gujarat Adani institute of medical science, Bhuj, Kutch, over a period of 18 months. Under anaesthesia, patient is placed in dorsal lithotomy position the sample size of the study includes 70 patients. The hysteroscope is inserted into the cervical canal and advanced into the uterine cavity through internal os under direct vision by manipulating along the axis of the canal. Endometrial cavity were visualised systematically. Any intrauterine pathology is looked for and endometrial samplings were taken from the abnormal sites for Histopathological examination. Results: Of the 70 patients majority, 11 (42%) had symptoms for more than 1 year, 45 patients (30%) had symptoms for 6 months to 1 year and 14 patients (28%) had symptoms for less than 6 months. Majority of the patients presented with menorrhagia. One of the most consistent findings in this study has been the detection of intra uterine Pathology like endometrial hyperplasia (17 cases, 18%), endometrial polyp (13 cases, 18%) and submucous myoma (3 cases, 5%) with 100% accuracy with hysteroscopy. Conclusion: Hysteroscopy was more sensitive in detecting endometrial polyp, submucous fibroid and endometrial hyperplasia but it was found less sensitive than curettage in detecting cancer and normal endometrium.
Authors and Affiliations
Gopal Hirani
Keywords
Related Articles
- EP ID EP457502
- DOI 10.21088/ijog.2321.1636.5217.9
- Views 119
- Downloads 0
Study of Early Perinatal outcome in Lower Segment Caesarean Section in Severe Foetal Distress
Introduction: Fetal distress contributes to increased caesarean section rate.Predicting adverse outcome in early perinatal period is important in severe fetal distress. Aim of the Study: To study the risk factors for foe...
Comparison of Oral Misoprostol and Oxytocin for Labour Induction in Prelabour Rupture of Membranes at Term
Introduction: Prelabour rupture of membrane complicates pregnancy affecting delivery route and course of labour. This study aims at comparison of oral misoprostol and oxytocin infusion for labour induction in term PROM....
Posterior Reversible Encephalopathy Syndrome (PRES), not Unusual with Eclampsia
Posterior reversible encephalopathy syndrome (PRES) is a reversible syndrome characterized by headache, seizures, altered sensorium, and loss of vision associated with white matter changes on imaging. We report here a 23...
To Study Indication of LSCS in New Civil Hospital, Surat Using Modified Robson’s Criteria
Objectives: to study indication of LSCS in our setting using modified Robson’s criteria. Materials and Methods: The study was carried out at Dept of Obstetrics and Gynecology, in our institute, for 1000 consecutive caesa...
Evaluating the Awareness of Females of Regarding Ovarian Cysts in Bhuj, Gujarat
Background and Aim: The ovaries are part of the female reproductive system. There are various types of ovarian cysts such as dermoid cysts and endometrioma cysts. However, functional cysts are the most common type. Aim o...