Hysteroscopic Evaluation Of Menorrhagia And Its Correlation With Saline Infusion Sonography

2016-12-27T04-13-53Z
Source: National Journal of Integrated Research in Medicine
Neelam Tejwani*, Rahul Padval**, P.K. Roy***, Roopam Jain****.
Background: In India Menorrhagia is becoming an increasingly frequent problem of women seeking gynaec consultation and has become a major reason for hysterectomy without any uterine pathology. Woman work 2/3rd of world's working hours and produce 1/2 of worlds food and earn 10% of worlds income but menorrhagia leads to loss of working hours significantly hence to treat properly a correct diagnosis is a must. Aim: The purpose of this study is to know best way of diagnosis cause of menorrhagia with minimum invasion and more accuracy[1]. Method: A prospective observational study on 97 women attending gynaec OPD in R.D. Gardi Medical College between 01-09-2011 to 01-03-2013 was done. Complete clinical examination with saline infusion sonography and hysteroscopy was done in each patient here we compare results of two diagnostic methods. Result: Out of 97 patients (n=97), by Hysteroscopy 44% had normal findings and 55.6% had abnormal findings. Out of 97 patients (n=97), by SIS 42% had normal findings and 57.7% had abnormal findings. Conclusion: (Saline infusion sonography) SIS an easy diagnostic modality being widely available, can be used in the same sitting of ultrasound scan of the pelvis and if a structural lesion is detected plan for definitive management may be taken early in a poor country like India. Hysteroscopy is the gold standard in evaluation of AUB and besides diagnostic accuracy offers definitive management in cases like small endometrial polyp, sepsis, small fibroid, indometrial hyperplasia. [Neelam T NJIRM 2016; 7(6):40-44]


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