Saline Contrast Hysterosonography in Women with Abnormal Uterine Bleeding; A hospital based study

ABSTRACT

To assess the diagnostic accuracy of saline contrast hysterosonography in the evaluation of the uterine cavity in women complaining of abnormal uterine bleeding. Fifty patients with abnormal uterine bleeding presenting at Gynae Department, Nishtar Hospital Multan were selected. Saline contrast hysterosonography performed and results compared with the gold standard diagnostic hysteroscopy. Majority of the patients were between 31-40 years of age. 60.00% of the patients were P[5] or above. The sensitivity and specificity were 97.2% and 83.3% respectively. Saline contrast hysterosonography is accurate in the evaluation of the uterine cavity in Pre-and postmenopausal women suffering from abnormal uterine bleeding. The feasibility of saline contrast hysterosonography is high, although significantly better in pre-menopausal women compared with postmenopausal women. We conclude that saline contrast hysterosonography, in combination with an endometrium aspiration can become the standard diagnostic procedure in women with abnormal uterine bleeding