Background and Aim: Abnormal uterine bleeding in premenopausal and postmenopausal women is the single most common reason for gynaecological referrals. Present study was done with an aim of Hysteroscopic Evaluation in Patients with Abnormal Uterine Bleeding. Methods: The study includes the patients attending gynaecology OPD at Gujarat Adani institute of medical science, Bhuj, Kutch, over a period of 18 months. Under anaesthesia, patient is placed in dorsal lithotomy position the sample size of the study includes 70 patients. The hysteroscope is inserted into the cervical canal and advanced into the uterine cavity through internal os under direct vision by manipulating along the axis of the canal. Endometrial cavity were visualised systematically. Any intrauterine pathology is looked for and endometrial samplings were taken from the abnormal sites for Histopathological examination. Results: Of the 70 patients majority, 11 (42%) had symptoms for more than 1 year, 45 patients (30%) had symptoms for 6 months to 1 year and 14 patients (28%) had symptoms for less than 6 months. Majority of the patients presented with menorrhagia. One of the most consistent findings in this study has been the detection of intra uterine Pathology like endometrial hyperplasia (17 cases, 18%), endometrial polyp (13 cases, 18%) and submucous myoma (3 cases, 5%) with 100% accuracy with hysteroscopy. Conclusion: Hysteroscopy was more sensitive in detecting endometrial polyp, submucous fibroid and endometrial hyperplasia but it was found less sensitive than curettage in detecting cancer and normal endometrium.

Keywords: Endometrial Hyperplasia; Hysteroscopic; Menorrhagia; Submucous Myoma; Uterine Bleeding.