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ROLE OF HYSTEROSCOPY IN DIAGNOSIS OF MENSTRUAL DISORDERS.

B K Taneja1, R P Arora2, M Alam3

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Hysteroscopy effectively diagnoses intra-uterine lesions in menstrual disorders, improving diagnostic precision. This minimally invasive procedure aids in identifying conditions like fibroids and polyps when other methods fail.

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Area of Science:

  • Gynecology
  • Reproductive Medicine
  • Diagnostic Imaging

Background:

  • Menstrual disorders often present with non-specific symptoms.
  • Traditional diagnostic methods may not always identify intra-uterine pathologies.
  • Hysteroscopy offers direct visualization of the uterine cavity.

Purpose of the Study:

  • To evaluate the diagnostic utility of hysteroscopy in women with menstrual disorders and no initial clinical findings.
  • To determine the accuracy of hysteroscopy in diagnosing intra-uterine lesions.
  • To assess the correlation between hysteroscopic findings and histological examination.

Main Methods:

  • Hysteroscopic evaluation was performed on 120 patients aged 20-48 with menstrual disorders.
  • Abnormal hysteroscopic findings were recorded and compared with histological results.
  • Diagnostic accuracy for specific lesions like submucous fibroids, polyps, and uterine synechiae was assessed.

Main Results:

  • Abnormal findings were observed in 48.3% of hysteroscopies.
  • Histologically confirmed abnormal lesions were found in 35.8% of cases.
  • Hysteroscopy demonstrated 74.1% histological correlation and 100% accuracy for diagnosing submucous fibroids, polyps, and uterine synechiae.

Conclusions:

  • Hysteroscopic evaluation significantly enhances diagnostic precision for intra-uterine lesions in menstrual disorders.
  • Hysteroscopy should be integrated with traditional methods for comprehensive evaluation of menstrual irregularities.
  • The study highlights hysteroscopy's value in cases with initially unclear clinical findings.