Volume : VII, Issue : X, October - 2018
The role of hysteroscopy used as a diagnostic tool in the evaluation of postmenopausal bleeding and its management strategies.
Dr Vidya V Bhat, Dr Yoga Lakshmi S. K
Abstract :
Objectives:
1) To study the role of hysteroscopy as a diagnostic tool in the evaluation of postmenopausal bleeding.
2) To plan management strategies according to the findings in the hysteroscopy procedure.
Materials and Methods
Type of the study: It is a retrospective analysis from June 2012 to
June 2017.
Setting: In department of obstetrics and gynecology in Radhakrishna
Multispeciality Hospital and IVF centre.
• The present study includes 1600 cases of postmenopausal bleeding from June 2012 to June 2017.
• Exclusion criteria– women with history of HRT.
Local causes such as bleeding from vagina or cervix
known case of bleeding disorder.
patient on anticoagulant therapy.
• The study includes 1600 cases with history of postmenopausal bleeding for which hysteroscopy was performed and also the patient who required operative treatment was done in same setting.
• The HPE findings are divided into 4 categories–Normal, Atrophic endometrium, Endometrial hyperplasia&Endometrial carcinoma.
Results:
• 1280 cases were found to have normal or atrophic endometrium for which they were followed up accordingly.
• 306 cases were found to have simple hyperplasia medical treatment given for them as first line of management and followed up.
• 14 cases with endometrial cancer for which stage wise management was done.
Conclusion
• Hysteroscopy in postmenopausal bleeding patients is a very good diagnostic tool for diagnosing Endometrial carcinoma and to prevent unnecessary surgery in women with normal HPE and simple hyperplasia.
• Hysteroscopy along with directed endometrial biopsy proved to be useful diagnostic aid in cases of postmenopausal bleeding.
Article:
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DOI : https://www.doi.org/10.36106/paripex
Cite This Article:
Dr Vidya V Bhat, Dr Yoga Lakshmi S.K, The role of hysteroscopy used as a diagnostic tool in the evaluation of postmenopausal bleeding and its management strategies., PARIPEX‾INDIAN JOURNAL OF RESEARCH : Volume-7 | Issue-10 | October-2018
Number of Downloads : 172
References :
Dr Vidya V Bhat, Dr Yoga Lakshmi S.K, The role of hysteroscopy used as a diagnostic tool in the evaluation of postmenopausal bleeding and its management strategies., PARIPEX‾INDIAN JOURNAL OF RESEARCH : Volume-7 | Issue-10 | October-2018