Abstract
This was a prospective study conducted at OBG department Mamata Medical College, Khammam .This study was carried out with 100 women in the reproductive and perimenopausal age group who presented with AUB during the period from Jan 2016 to Jan 2017. All the patients were subjected to Transvaginal Ultra Sound and dilatation and curettage. 45% of the patients in the study are between 41-46 yrs. 55% of patients presented with menorrhagia. 64% of patients had anaemia, 23 %diabetes, and 5% thyroid disorders were associated risk factors. The mean endometrial thickness was 10.1mm and majority of cases 50% had endometrial thickness16mm. Transvaginal Ultra Sound finding were reported as normal in 21%, fibroid in 38%, polyp in 9%, adenomyosis in 9%, hyperplasia in 9% and 14% were atrophic, bulky uterus. Fibroid was a common finding in our study. Histopathology reports of D&C showed the 63% were proliferative endometrium, 21% were secretory endometrium, 8% were hyperplasia and 8% were others such as atrophic endometrium. In our study Transvaginal Ultra Sound showed 100% sensitive and specific for the diagnosis of polyp. In our study when the endometrial thickness more than16 mm, the pathology of the endometrium was simple, complex hyperplasia. No carcinoma was diagnosed in the study. 84% of perimenopausal women underwent hysterectomy the indication being severe menorrhagia and the HPE findings correlates with the Transvaginal Ultra Sound finding. This study proves that Transvaginal Ultrasound, as a diagnostic tool is more sensitive than specific when compared to the histopathology findings. Both the methods of evaluating the endometrium namely the transvaginal ultrasound and endometrial biopsy are complementary to each other,therefore both should be used in evaluation of AUB.
Keywords: Abnormal uterine bleeding, Transvaginal ultra sound, dilatation and curettage, Biopsy, Diagnosis.
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Corresponding Author
Dr Niharika. S
Mobile: 97046 30266
DOI: https://dx.doi.org/10.18535/jmscr/v6i12.142
