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Abnormal Uterine Bleeding- evaluation by Endometrial Aspiration.

Pratibha Singh1

  • 1Department of Obstetrics and Gynecology, All India Institute of Medical Sciences, Jodhpur, Rajasthan, India.

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|April 10, 2018
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Summary

Endometrial aspiration is a safe and effective outpatient procedure for evaluating abnormal uterine bleeding (AUB). This method provides adequate samples in most cases, offering a less invasive alternative to traditional procedures.

Keywords:
Abnormal uterine bleedingatrophic endometriumdilatation and curettageendometrial aspirationendometrial hyperplasiaendometrial malignancy

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Area of Science:

  • Gynecology
  • Reproductive Medicine
  • Diagnostic Procedures

Background:

  • Abnormal uterine bleeding (AUB) requires endometrial evaluation, particularly in women over 35.
  • Common AUB presentations include heavy, frequent, irregular, postcoital, and postmenopausal bleeding.
  • Standard evaluation methods include sonography and endometrial biopsy, with hysteroscopy for complex cases.

Purpose of the Study:

  • To assess the efficacy and safety of endometrial aspiration using a Pipette (Medgyn) device for evaluating abnormal uterine bleeding (AUB).
  • To determine the adequacy of endometrial samples obtained via aspiration in an outpatient setting.

Main Methods:

  • Retrospective analysis of 115 cases undergoing endometrial aspiration with Pipette (Medgyn) between January 2015 and April 2016.
  • Data retrieved from paper and electronic case records.

Main Results:

  • Adequate endometrial samples were obtained in 86% of cases.
  • Inadequate samples occurred in 13.9%, often due to atrophic endometrium, necessitating further procedures like hysteroscopy or D&C.
  • Heavy menstrual bleeding was the most frequent AUB presentation; uterine malignancy was diagnosed in three cases.

Conclusions:

  • Endometrial aspiration is a simple, safe, and effective outpatient method for endometrial sampling in AUB.
  • It avoids anesthesia risks and is time-efficient compared to traditional D&C.
  • The procedure shows good correlation with histopathology and provides adequate tissue for diagnosis.