EVALUATION OF ENDOMETRIUM IN PERIMENOPAUSAL WOMEN WITH ABNORMAL UTERINE BLEEDING BY TRANSVAGINAL ULTRASONOGRAPHY

Dr. (Prof.)Alka Agrawal; Dr Aakanksha Verma; Dr Piyush Dubey; Dr. Prem Siddharth Tripathi

Volume : IX, Issue : XI, November - 2019

EVALUATION OF ENDOMETRIUM IN PERIMENOPAUSAL WOMEN WITH ABNORMAL UTERINE BLEEDING BY TRANSVAGINAL ULTRASONOGRAPHY

Dr. Prof. Alka Agrawal, Dr Aakanksha Verma, Dr Piyush Dubey, Dr. Prem Siddharth Tripathi

Abstract :

Background and purpose: AUB accounts for more than 50% of all gynaecologists’ consultation in the perimenopausal years, causing burden on the quality of the woman’s life. The aim of our study was to evaluate the accuracy of TVS to diagnose endometrial 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. 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.