Published: 2017-02-20

The evaluative role of diagnostic hysteroscopy and ultrasonography in abnormal uterine bleeding

Amrita Singh, Monika Anant


Background: Abnormal uterine bleeding (AUB) affects women of reproductive as well as perimenopausal age groups, has significant social and economic impacts. The causes of are Abnormal uterine bleeding numerous and include systemic, anatomical and hormonal disturbances. The usual tools of diagnosis are ultrasonography (USG) followed by endometrial curettage/aspirate which being a blind procedure, may miss out on focal endometrial cavity diseases. Office/diagnostic hysteroscopy has been found to be the method most suitable for making a quick diagnosis and guide treatment. The objective of the present study is to evaluate the role of hysteroscopy and comparing the finding with USG in the diagnosis of abnormal uterine bleeding.

Methods: A retrospective study of 150 patients presenting with Abnormal uterine bleeding, conducted in the Department of Obstetrics & Gynaecology, All India Institute of Medical Sciences, Patna, from May 2014 to July 2016. Clinical diagnosis with ultrasonography and hysteroscopic findings were assessed and statistical agreement (kappa coefficient) was calculated.

Results: Comparing findings of hysteroscopy with that of transvaginal ultrasonography the value of Kappa was found to be 0.448 which shows that there is intermediate to good agreement between the findings

Conclusions: Hysteroscopy is an effective tool to diagnose uterine cavitary lesions in abnormal uterine bleeding.


Abnormal uterine bleeding, Diagnostic hysteroscopy, Menorrhagia, Ultrasonography

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