Research Journal of Medical Sciences
ISSN: Online 1993-6095ISSN: Print 1815-9346
Abstract
Abnormal uterine bleeding is defined as any deviation from the normal menstrual cycle this include change in regularity, frequency of menses, duration or amount of bleeding during or in between periods. To assess the usefulness of hysteroscopy in comparison with Transvaginal sonography in abnormal uterine bleeding evaluation. This study was conducted on 50 female patients with abnormal uterine bleeding in Department of Obstetrics and Gynaecology at Sree Mookambika Institute of Medical Sciences based on inclusion and exclusion criteria. Each patient was subjected to Transvaginal sonography where uterine cavity was studied in detail and hysteroscopy under anaesthesia using saline as distension medium. Sensitivity, specificity and predictive value of Transvaginal sonography as compared to hysteroscopy were calculated. On Transvaginal sonography, out of total 50 patients, 22 patient showed normal endometrium, 12 patient showed thickened endometrium, 10 showed endometrial polyp, 5 showed submucosal fibroid and 1 showed irregular shadow. Transvaginal sonography was found to have a very high sensitivity of 90.90%, specificity of 85.71%, disease prevalence rate of 44.0%, positive predictive value of 83.33% and negative predictive value of 92.30%. Transvaginal sonography is recommended as first line investigation in abnormal uterine bleeding. If TVS shows normal cavity, further evaluation can be omitted and patient started directly on medical treatment for her symptoms.
How to cite this article:
Mounika Kuppili, Rema V. Nair, A.R. Jameela Ponmalar and V. A. Ramya. Correlation between Transvaginal Sonography and Hysteroscopy in Evaluation of Abnormal Uterine
Bleeding.
DOI: https://doi.org/10.36478/10.59218/makrjms.2024.1.124.129
URL: https://www.makhillpublications.co/view-article/1815-9346/10.59218/makrjms.2024.1.124.129