Diagnostic Validity of Transvaginal Ultrasonography in Evaluation of Abnormal Uterine Bleeding in Perimenopausal Women and Its Histopathological Correlation: A Descriptive Observational Study from a Tertiary Hospital, Kalaburagi

Abstract

Introduction: The prevalence of abnormal uterine bleeding (AUB) is estimated to be 11-13% in the general population. AUB affects 10-30-% of reproductive age group women and upto 50% of women in perimenopausal age group. Hysteroscopy has emerged as a useful diagnostic procedure that is safe, with a low incidence of clinically significant complications. The accuracy of diagnosis based on hysteroscopic visualization is high for endometrial cancer, but only moderate for other endometrial diseases.
Objectives: To evaluate the diagnostics validity of transvaginal ultrasonography in evaluation of abnormal uterine bleeding and its correlation with histopathological findings.
Methodology: The present descriptive observational study was carried out in department of OBGY involving 85 women of the reproductive age group that underwent hysteroscopy for AUB during the study period from January to December 2023.
Results: We included total 85 perimenopausal women presented with AUB. Majority of the women were from 41-45 years age group i.e., 44(51.8%). Commonly observed symptoms were dysmenorrhea in 58.8% and pain abdomen in 18.5%. Sensitivity, specificity, PPV and NPV of hysteroscopy for diagnosing proliferative endometrium was 74.5%, 82.6%, 83% and 74.6% respectively.
Conclusion: Sensitivity, specificity, PPV and NPV of hysteroscopy for diagnosing proliferative endometrium was 74.5%, 82.6%, 83% and 74.6% respectively.