THE ROLE OF TRANSVAGINAL ULTRASOUND IN ABNORMAL UTERINE BLEEDING IN PERIMENOPAUSAL WOMEN AND ITS HISTOPATHOLOGICAL CORRELATION

Dr. (Prof.) Alka Agrawal; Dr Aakanksha Verma; Dr Jaipal Singh; Dr Rajkumar Patidar; Dr Gaurav Bhandari

Volume : VIII, Issue : X, October - 2019

THE ROLE OF TRANSVAGINAL ULTRASOUND IN ABNORMAL UTERINE BLEEDING IN PERIMENOPAUSAL WOMEN AND ITS HISTOPATHOLOGICAL CORRELATION

Dr. Prof. Alka Agrawal, Dr Aakanksha Verma, Dr Jaipal Singh, Dr Rajkumar Patidar, Dr Gaurav Bhandari

Abstract :

Background: Abnormal uterine bleeding accounts for more than 50% of all gynaecologist�s consultation in the perimenopausal years. Aims and objective: To evaluate the accuracy of TVS to diagnose organic uterine pathology causing abnormal uterine bleeding in perimenopausal women with histopathological correlation. Results: Total 100 perimenopausal women were included, the most common age group was 48-51 years,51% patients presented with menorrhagia. 79% patients were multiparous. Uterine fioid was the commonest uterine pathology (42%). 35% of patients had ET>16mm.On TVS, ET>8mm had significantly higher chance to be abnormal histopathologically.7% and 10%patients revealed endometrial malignancy on TVS and HPE respectively. The sensitivity, specificity, PPV, NPV of TVS for benign lesions was 99%, 60%, 96% and 86% respectively and sensitivity, specificity, PPV, NPV of TVS for malignant lesion was 60%, 99%, 86% and 96% respectively. Conclusion: Perimenopausal women with ET>8 mm on TVS, should undergo histopathological evaluation