Diagnostic Hysteroscopy for the Investigation of Abnormal Uterine Bleeding in Premenopausal Patients

2000 ◽  
pp. 21-26 ◽  
Author(s):  
M. van Trotsenburg ◽  
F. Wieser ◽  
F. Nagele
Keyword(s):  
Abnormal Uterine Bleeding ◽  
Uterine Bleeding ◽  
Premenopausal Patients ◽  
Diagnostic Hysteroscopy

scholarly journals Diagnostic role of hysteroscopy in abnormal uterine bleeding: a comparative study of hysteroscopy findings with histopathology from Mysore, South India

2019 ◽  
Vol 8 (2) ◽  
pp. 398
Author(s):  
Mamatha Shivanagappa ◽  
Vinutha K. Veerabhadrappa ◽  
Madhumitha Mahesh
Keyword(s):  
Diagnostic Technique ◽  
Abnormal Uterine Bleeding ◽  
Uterine Bleeding ◽  
Normal Endometrium ◽  
Medical College ◽  
Dilatation And Curettage ◽  
Diagnostic Role ◽  
Diagnostic Hysteroscopy ◽  
Diagnostic Work

Background: Dilatation and curettage has long been the diagnostic gold standard for abnormal uterine bleeding. However, even a trained gynecological curettes at best 70-80% of the endometrium. Hysteroscopy is gaining acceptability over other diagnostic technique like dilatation and curettage, hysterosalpingogram and ultrasound. The objective of this study is to find out the role of hysteroscopy in abnormal uterine bleeding and to compare hysteroscopy findings with histopathology.Methods: Fifty patients in perimenopausal age group with abnormal uterine bleeding attending JSS Medical College and Hospital Mysore, during the period 1999-2001 were studied by diagnostic hysteroscopy followed by dilatation and curettage.Results: Mean age of the study group was 44.3% years (±2.5 SD). Menorrhagia was the commonest symptom and was found in 68% of the patients. Diagnostic hysteroscopy identified 23 cases as Normal endometrium, 16 cases as endometrial hyperplasia, 3 cases as atrophic endometrium, 4 cases as endometrial polyp, 4 cases as fibroids. Compared with histopathological findings as definitive diagnosis, hysteroscopy correctly picked up 19 cases of (86.9%), normal endometrium, 12 cases of hyperplasia (75%), 3 cases of atrophic endometrium (100%), 4 cases of polyps (100%), and 4 cases of fibroid (100%).Conclusions: Hysteroscopy should be considered as a basic and essential diagnostic procedure in the diagnostic work up of abnormal uterine bleeding. 

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

2009 ◽  
Vol 1 (2) ◽  
pp. 98 ◽  
Author(s):  
NeemaS Acharya ◽  
DeeptiS Shrivastava ◽  
SheetalG Patil ◽  
SB Bhute ◽  
SA Inamdar
Keyword(s):  
Abnormal Uterine Bleeding ◽  
Uterine Bleeding ◽  
Diagnostic Hysteroscopy

scholarly journals A clinical study of diagnostic hysteroscopy in abnormal uterine bleeding and its histopathological correlation

2018 ◽  
Vol 7 (2) ◽  
pp. 396
Author(s):  
Shanmugapriya Kumaresan ◽  
Devika Perumal
Keyword(s):  
Tamil Nadu ◽  
Abnormal Uterine Bleeding ◽  
High Sensitivity ◽  
Clinical Problem ◽  
Uterine Bleeding ◽  
College Hospital ◽  
Histopathological Correlation ◽  
Diagnostic Hysteroscopy ◽  
Sensitivity Specificity ◽  
A Prospective Study

Background: Abnormal uterine bleeding is a common clinical problem with myriad of causes. The diagnosis and management of abnormal menstrual function must be based on an understanding of the physiologic mechanisms involved in the regulation of the normal cycles. Diagnostic hysteroscopy is a valuable tool in diagnosing structural intra-cavital pathology, very suitable for out-patient clinic.Methods: This is a prospective study which has been carried out in the Department of Obstetrics and Gynecology, Tirunelveli medical college hospital, Tirunelveli, Tamil Nadu from January 2011 to October 2011.Results: A total of 50 cases were analysed among the 50 patients tested. 26 patients had some pathology of which 24were accurately detected by hysteroscopy, missed 2 cases of irregular shedding endometrium which was reported by histopathology.Conclusions: Hysteroscopy is a safe, reliable and quick procedure in the diagnosis of cases with abnormal uterine bleeding with high sensitivity, specificity and negative predictive value.

The ovarian morphofunctional status in premenopausal patients with abnormal uterine bleeding after organ-sparing treatments

2018 ◽  
Vol 18 (4) ◽  
pp. 62
Author(s):  
V. G. Breusenko ◽  
G. N. Golukhov ◽  
Yu. A. Golova ◽  
O. I. Mishieva ◽  
T. A. Plakhova ◽  
...  
Keyword(s):  
Abnormal Uterine Bleeding ◽  
Uterine Bleeding ◽  
Organ Sparing Treatments ◽  
Premenopausal Patients ◽  
Organ Sparing

scholarly journals Primary care endometrial sampling for abnormal uterine bleeding: a pilot study

2017 ◽  
Vol 43 (4) ◽  
pp. 296-301 ◽  
Author(s):  
Jon M Dickson ◽  
Brigitte Delaney ◽  
Mary E Connor
Keyword(s):  
Primary Care ◽  
Large City ◽  
Abnormal Uterine Bleeding ◽  
Uterine Bleeding ◽  
First Year ◽  
Initial Management ◽  
Endometrial Sampling ◽  
Premenopausal Patients ◽  
General Practices ◽  
The Uk

AimTo design and evaluate a pilot service for primary care endometrial sampling (PCES).DesignRetrospective analysis of data from two service evaluations.SettingGeneral practices and the gynaecology department in a large city in the UK.MethodsThese were two-fold: (1) To design the new service we identified all the endometrial samples taken in the city’s gynaecology department in 2012/2013 and estimated the proportion of these with abnormal uterine bleeding (AUB) that would be suitable for PCES. (2) To evaluate the new PCES service we analysed data from the first year of activity.Results(1) A total of 1894 endometrial samples were taken in hospital in 2012/2013. An estimated 424 (22.4%) of these were from patients with AUB who fitted the criteria for PCES. (2) In the first year of the PCES service 108 samples were taken by general practitioners (GPs). Initial management of these patients was exclusively in primary care in 97.2% (104/108) of cases; most patients were treated with the Mirena intrauterine system (79/109; 73.1%) and there were no cases of hyperplasia or cancer.ConclusionsMost premenopausal patients with AUB could potentially be managed in primary care without referral to hospital if endometrial sampling (ES) was made available to appropriately trained and supported GPs. However, this study was limited by its retrospective, non-interventional design, and more research is required to demonstrate safety and cost-effectiveness.

scholarly journals DIAGNOSTIC HYSTEROSCOPY IN ABNORMAL UTERINE BLEEDING & IT'S HISTOPATHOLOGIC CORRELATION: OUR EXPERIENCE

2013 ◽  
Vol 03 (02) ◽  
pp. 013-017
Author(s):  
Neetha Nandan ◽  
Lakshmi Manjeera ◽  
Supriya Rai ◽  
Mangala Gowri
Keyword(s):  
Endometrial Hyperplasia ◽  
Histopathological Examination ◽  
Abnormal Uterine Bleeding ◽  
Uterine Bleeding ◽  
Histopathological Diagnosis ◽  
Normal Endometrium ◽  
The Past ◽  
Dilatation And Curettage ◽  
Medical Academy ◽  
Diagnostic Hysteroscopy

Abstract Aims & objectives: 1) To study the accuracy of hysteroscopy in evaluation of abnormal uterine bleeding in perimenopausal and postmenopausal women. 2) To correlate hysteroscopic findings with histopathologic results. Materials and methods: It is a retrospective study done in the department of OBG at K. S.Hegde Medical Academy, Mangalore. All patients who underwent diagnostic hysteroscopy for abnormal uterine bleeding in the past 6 years were included in this study. Patients underwent clinical and sonographical evaluation. Following hysteroscopic evaluation, patients had undergone dilatation and curettage and endometrial curetting were sent for histopathological examination (HPE). The correlation between findings on hysteroscopy & HPE were tabulated. Results: On hysteroscopy, endometrium was classified as suggestive of normal, hyperplasia, atrophic, polyp, fibroid, cancer. Histopathological diagnosis was taken as gold standard to determine the efficacy of hysteroscopy in diagnosing endometrial pathologies. Out of 175 patients, 108 patients were diagnosed to have endometrial hyperplasia on hysteroscopy, however only 53 confirmed to have on histopathologically. Similarly 25 patients were said to have normal findings on hysteroscopy but by histopathology 85 were having normal endometrium. Hysteroscopy was highly specific for diagnosis of polyp (95.9%), cancer (100.0%), and atrophy (96. 9%), normal endometrium (92.2%) but low specificity for diagnosing hyperplasia (48.4%). The sensitivity of hysteroscopy in diagnosing polyp and endometrial hyperplasia were 100% and 84.9% respectively but it was low in case of cancer (16.7%) and normal endometrium (21.2%). Conclusion: Hysteroscopy is a highly accurate diagnostic tool in diagnosing intrauterine lesions like endometrial polyp and submucous fibroid. In fact, it was also found to be highly specific in conditions like endometrial cancer, polyp, atrophic and normal endometrium.

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