The role of hysteroscopy used as a diagnostic tool in the evaluation of postmenopausal bleeding and its management strategies.

Dr Vidya V Bhat; Dr Yoga Lakshmi S.K

Volume : VII, Issue : X, October - 2018

The role of hysteroscopy used as a diagnostic tool in the evaluation of postmenopausal bleeding and its management strategies.

Dr Vidya V Bhat, Dr Yoga Lakshmi S. K

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.