ABSTRACT
Objective: to find out the role of diagnostic hysteroscopy in accurate diagnosis of patients presenting with irregular uterine bleeding in our setup
Material and Methods: all the patients who underwent hysteroscopy for irregular uterine bleeding during study period were included. Age, parity, marital status and LMP were noted. Hysteroscopic findings were determined and subsequent endometrial samples taken. A comparison was made between hysteroscopic impression and histological examination
Results: total 148 patients had hysteroscopy for irregular uterine bleeding. The age range of our patients was 20-70 years with the mean age of 38.3 years. 97.2% patients were married and 88.5% pre-menopausal. Hysteroscopically findings noted in 113 patients [76.3%] and confirmed on histopathology in 89 cases [60.1 %]. Four patients [2. 7%] had a suspicion of carcinoma endometrium and histopathology confirmed this in 3 cases [2.02%]. We failed to perform hysteroscopy in 3 cases [2%] due to cervical stenosis
Conclusion: hysteroscopy with a biopsy has a high diagnostic yield