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Assessment of Chromohysteroscopy in Detection of Intracavitary Lesions in Perimenopausal Women with Abnormal Uterine Bleeding: A Prospective Study

Laxmi KS , Girija C Bellad1 , Laxmi KS2

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Indian Journal of Maternal-Fetal & Neonatal Medicine 6(1):p 19-22, Jan-June 2019. | DOI: DOI: http://dx.doi.org/10.21088/ijmfnm.2347.999X.6119.3

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Abstract

Background and Aim: Abnormal Uterine Bleeding (AUB) is one of the most common health problems encountered by women. It affects about 20% women of reproductive age, and accounts for almost two thirds of all hysterectomies. Present study was done with an aim to To evaluate the role of chromohysteroscopy in detection of intracavitary lesions in perimenopausal women with abnormal uterine bleeding. Material and Methods: Present study was the prospective one in subjects of 95 perimenopausal women aged >42 years who presented with complaints of abnormal uterine bleeding. Following the necessary pre-operative preparation, all women underwent diagnostic hysteroscopy, chromohysteroscopy and targeted under suitable anaesthesia, fully assembled hysteroscope. A total of 32 cases in our study group underwent hysterectomy and specimens were sent for histopathology. Histopathological examination was carried out by a clinical pathologist who was blinded regarding hysteroscopic findings. Diagnostic accuracy of hysteroscopy and chromo hysteroscopy in detection of intracavitary lesions was then studied. Results: Mean age of the study group was 42.50 ± 3.89 years, average parity was 3 and mean BMI was 25.1 ± 3.45 Kg/m2. Thirty nine percentage cases presented with menorrhagia, 36% with polymenorhagia, 8% with metrorrhagia and 5% with postmenopausal bleeding. A total of 32 cases in our study group underwent hysterectomy. In 20 of them intracavitary lesions were detected on hysteroscopy. In the rest cases, no intracavitary lesion was visualized on hysteroscopy. The diagnostic accuracy of chromohysteroscopy in detecting intracavitary lesions as unstained areas was also found to be significantly high. Conclusion: Thus it is concluded that the diagnostic accuracy of both hysteroscopy and chromohysteroscopy in detecting intracavitary made these lesions look more prominent and effortlessly identifiable to the observer, thereby minimizing inter-observer variations. A well outlined lesion is difficult to miss and less likely to involve conflicting diagnoses.

Keywords: Abnormal Uterine Bleeding; Chromohysteroscopy; Hysteroscopy; Intracavitary lesions.

 

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DOI: DOI: http://dx.doi.org/10.21088/ijmfnm.2347.999X.6119.3

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