ABSTRACT
Introduction: Abnormal uterine bleeding (AUB) is the most often encountered gynecological problem. A newly coined term describes the condition wherein there is any deviation from a normal menstrual pattern. An estimated 5% women aged 30-49 years consult a gynecologist each year for treatment. This makes it imperative to accurately diagnose and treat the cause. This study aims at judging the place of diagnostic hysteroscopy in obtaining an accurate diagnosis of the etiology of AUB and amp; outlining a mode of treatment. This is done by correlating the findings on hysteroscopy and those found on a dilation and curettage (D&C) and ultrasonography (USG). Material and methods: This prospective study was performed in the Dept. of Obstetrics and Gynecology, National Institute of Medical Sciences, Jaipur. Fifty cases of AUB were chosen based on inclusion and exclusion criteria. The patients were subjected to routine investigations, USG, D&C and hysteroscopy. The findings of the three were compared and analyzed. Results: AUB was most common between 30-39 years (44%). Maximum patients had complaints since 3-6 months (50%). Menorrhagia was the most common presenting complaint (46%). Normal findings were observed in 40% cases with D&C, 16% with USG, 22% with hysteroscopy. Abnormal findings were seen in 60% cases with D&C, 84% with USG, 78% with hysteroscopy. The over-diagnostic role of USG is also highlighted. Conclusion: This study reveals the superior ability of hysteroscopy in evaluating patients with AUB, when compared to D&C and USG. These findings are in agreement with those of many other studies.