Comparison of hysteroscopy and histopathology in diagnosing
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About one-third of gynecological consultations are from abnormal uterine bleeding (AUB) in eastern India. In most cases, it remains a transient condition and cured by conservative medications but few of them require endometrial biopsy for definitive diagnosis to formulate a treatment. For abnormal uterine bleeding, hysteroscopy is a better tool.

The study objective was to find out the common uterine abnormality and to determine the validity and agreement of findings by hysteroscopy with histopathological findings.

An observational study was conducted on 150 women with abnormal uterine bleeding (AUB) for more than six months duration.

Although the histopathological findings were comparable with hysteroscopy findings, the sensitivity, specificity, positive predictive value, and negative predictive value were 96%. 53.8%, 90.9%, and 77.8% respectively for detecting overall abnormal pathology by hysteroscopy in comparison to histopathology.

The study concluded that, for abnormal uterine bleeding, hysteroscopy can be a better tool for collecting the proper samples for the histopathological tests while dilatation and curettage is a blind procedure.

The New Indian Journal of OBGYN
Source: http://journal.barpetaogs.co.in/abstract/07135
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