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HYSTEROSCOPY IN POSTMENOPAUSAL BLEEDING.

S Vardhan¹, S Mohan², P Ranjan³

¹Classified Specialists (Obstetrics and Gynaecology), Armed Forces Clinic, Dalhousie Road, New Delhi - 110011.

Medical Journal, Armed Forces India

|July 14, 2016

Summary

This summary is machine-generated.

Hysteroscopy is a valuable tool for diagnosing causes of postmenopausal bleeding. This study found hysteroscopy, combined with endometrial biopsy, effectively identified various uterine conditions in women experiencing postmenopausal bleeding.

Keywords:

Hysteroscopy Postmenopausal bleeding

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Area of Science:

Gynecology
Diagnostic Imaging

Background:

Postmenopausal bleeding is a common gynecological concern requiring accurate diagnosis.
Differentiating benign conditions from endometrial malignancy is crucial.

Purpose of the Study:

To assess the effectiveness of hysteroscopy in diagnosing postmenopausal bleeding.
To evaluate hysteroscopy's role in identifying specific intrauterine pathologies.

Main Methods:

A study involving 42 patients with postmenopausal bleeding.
Hysteroscopy performed using a rigid hysteroscope with 1.5% glycine distension.
Directed endometrial biopsy performed for histological confirmation.

Main Results:

Positive hysteroscopic findings were observed in 17 out of 42 cases.
Diagnoses included endometrial carcinoma (2), endometritis (2), endometrial polyps (4), endometrial hyperplasia (5), submucous myoma (1), and endocervical polyps (3).
Normal postmenopausal endometrium was observed in 25 cases.

Conclusions:

Hysteroscopy is a useful diagnostic aid for postmenopausal bleeding.
Combining hysteroscopy with directed endometrial biopsy enhances diagnostic accuracy for intrauterine pathology.