Abnormal Uterine Bleeding (AUB)-Pandora Box- Diagnostic Evaluation by Transvaginal Sonography (TVS), Hysteroscopy and Histopathology as Gold Standard

Background: The term “Abnormal Uterine Bleeding (AUB)” refers to abnormal genital tract bleeding, which accounts for 10-15% of all Gynecology department outdoor patient visits. Endometrial polyps, endometrial hyperplasia, submucous fibroids, and anovulation are all common causes of AUB. The incidence of unnecessary surgical interventions and hysterectomies can be reduced if AUB is correctly diagnosed.

Goals and Objectives: The purpose of this study is to compare the utility of transvaginal sonography (TVS) to hysteroscopy in AUB patients.

Materials and Methods: A one-year prospective and comparative study was conducted at the Department of Obstetrics and Gynecology on 100 patients with AUB who attended the OPD. In all of the patients who presented with AUB, TVS and hysteroscopy were performed, and further procedures were performed as needed. The results were evaluated to see how well the TVS pick up rate compared to hysteroscopy, with the biopsy report serving as the gold standard.

Overall, it appears that hysteroscopy provides tissue diagnosis closure, but the p-value is not significant. Conclusion: Combining all three modalities aids in the proper diagnosis of AUB aetiology and improved patient care by decreasing unnecessary hysterectomies.

Author (S) Details

Monika Jindal
Department of Obstetrics and Gynecology, MMMCH, Kumarhatti, Solan-173229, India.

Monika Gupta
Department of Obstetrics and Gynecology, MMMCH, Kumarhatti, Solan-173229, India.

View Book :- https://stm.bookpi.org/HMMS-V13/article/view/2723

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