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Indian Journal of Obstetrics and Gynecology

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The Role of Hysteroscopy Used as a Diagnostic Tool in the Evaluation of Postmenopausal Bleeding and Its Management Strategies

, Yoga Lakshmi S.K. , Vidya V. Bhat

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Indian Journal of Obstetrics and Gynecology 5(3 (Supplement)):p 295-295, Jul-Sep 2017. | DOI:

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Abstract

Objectives: 1. to study the role of hysteroscopy as a diagnostic tool in the evaluation of postmenopausal bleeding. 2. To plan management strategies according to the findings in the hysteroscopy procedure. Materials and Methods: Type of the Study: It is a retrospective analysis from June 2012 to June 2017. Setting: In department of obstetrics and gynecology in Radhakrishna. Multispeciality Hospital and IVF centre. • The present study includes 1600 cases of postmenopausal bleeding from June 2012 to June 2017. • Exclusion Criteria: women with history of HRT. Local causes such as bleeding from vagina or cervix known case of bleeding disorder. patient on anticoagulant therapy. • The study includes 1600 cases with history of postmenopausal bleeding for which hysteroscopy was performed and also the patient who required operative treatment was done in same setting. • The HPE findings are divided into 4 categories- Normal, Atrophic endometrium, endometrial hyperplasia & endometrial carcinoma. Results: • 1280 cases were found to have normal or atrophic endometrium for which they were followed up accordingly. • 306 cases were found to have simple hyperplasia medical treatment given for them as first line of management and followed up. • 14 cases with endometrial cancer for which stage wise management was done Conclusion • Hysteroscopy in postmenopausal bleeding patients is a very good diagnostic tool for diagnosing Endometrial carcinoma and to prevent unnecessary surgery in women with normal HPE and simple hyperplasia. • Hysteroscopy along with directed endometrial biopsy proved to be useful diagnostic aid in cases of postmenopausal bleeding. 

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