Diagnostic Yield of Hysteroscopy in Patients With Irregular Uterine Bleeding

Abstract

Objective: To find out the role of diagnostic hysteroscopy in accurate diagnosis of patients
presenting with irregular uterine bleeding in our setup.
Material & 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.