DOI: 10.36347/sjams.2017.v05i03.028

Pages: 838-843

The objective is to achieve the greatest diagnostic accuracy with the least risk for patients by hysteroscopy, Transvaginal ultrasonography (TVS) and histopathological examination in cases of perimenopausal abnormal uterine bleeding. A prospective study was conducted over a period 1 year 2 months in Bankura Sammilani Medical College among 91 perimenopausal woman who were presented with abnormal uterine bleeding in outdoor. Six cases hysteroscopy cannot be done and were excluded from study. Eighty-five patients underwent TVS and hysteroscopy followed by endometrial biopsy. Most common bleeding pattern in patients with abnormal uterine bleeding were menorrhagia (30.59%) followed by metrorrhagia (22.35%). Sensitivity (S), Specificity (SP), positive predictive value (PPV), Negative predictive value (NPV) of TVS in comparison to gold standard H.P report, for diagnosis of hyperplastic endometrium and polyp was 43.75%, 95.65%, 70%, 88% and 50%, 89.16%, 10%, 98.67% respectively. Sensitivity (S), Specificity (SP), positive predictive value (PPV), Negative predictive value (NPV) of hysteroscopy for diagnosis of hyperplastic endometrium and polyp were –50%, 95.78%, 70%, 90.67%, and 71.43%, 100%, !00%, 94.67% respectively. TVS plays an important role as the initial modality to exclude any anatomical lesion in uterus, adnexal region and measurement of endometrial thickness for selecting patients who undergone for hysteroscopic evaluation. Hysteroscopy to be an ideal procedure for global evaluation of endometrial cavity and directed biopsy and for follow up of cases with abnormal uterine bleeding.