Abnormal uterine bleeding; hysteroscopic findings in patients

ABSTRACT

To determine the frequency of the various uterine pathologies detected during hysteroscopic examination in women with abnormal uterine bleeding. Descriptive - case series. This study was conducted at Nishtar Hospital Multan in the Department of Obstetrics and Gynaecology Unit II from July 2005 to July 2006. A total of 70 patients admitted through gynecology outpatient department with complaint of abnormal uterine bleeding were evaluated. 40 patients were selected by non- probability purposive sampling. Assessment included detailed history, clinical examination, baseline investigations and pelvic ultrasound in all patients. ECG and X-ray chest of patients above 40 years was done. Diagnostic hysteroscopies were performed and findings were noted. A total of 40 patients underwent diagnostic hysteroscopy. Most of the women were in perimenopausal age group with presenting complaint of irregular and heavy bleeding per vaginum. General anesthesia was used in all patients with saline as distension medium. Pathology was diagnosed in 52.5% with the help of hysteroscope. The most common pathology was endometrial polyp 27.5% followed by submucous fibroid 25%. No early or late complication was observed. Incidence of focal endometrial lesions in patients with AUB is high. Hysteroscopy provides direct visualization of endometrial cavity and hence accurately detects intrauterine pathology. It is safe, effective and successful investigation and should be considered a procedure of choice for evaluation of abnormal uterine bleeding