Comparitive Study of Hysteroscopy and Transvaginal Sonography in Screening of Patients with Abnormal Uterine Bleeding

To Study The Efficacy Of Hysteroscopy As A Screening Method In Patients With Abnormal Uterine Bleeding. To Compare The Usefulness Of Hysteroscopy And Transvaginal Ultrasound In Abnormal Uterine Bleeding. To Correlate The Results Of Hysteroscopy And Tvs With Histopathological Examination. I. Materials And Methods Patient PopulationOur study includes 50 women of age varying between 28 to 55 years who were admitted.We included only the patients with technical success in transvaginal sonography and Hysteroscopy in this study.Finally 50 patients with pathological confirmation were included in this study.All 50 patients were first evaluated with transvaginal sonography followed by Hysteroscopy and traditional curettage with cervical biopsy performed after 2 days following transvaginal sonography[7MHz]The pathological findings are then correlated with ultrasound finding and diagnosis by hysteroscopy. Criteria for Selection 1.Patients who had AUB for more than 6 months were selected 2. Patients in Reproductive and perimenopausal age were selected 3.Both Nulliparous and parous women were included 4. Patients in pubertal age group were excluded 5.Both treated and untreated patients were taken 6.Patients with any temporary method of contraception for the past 6 months were excluded 7. Patients who underwent abortion and pregnant were excluded 8. Patients with any other medical or surgical illness were excluded 9. Lactating mothers were excluded 10.Informed consent from the patients taken.Patients were also investigated if they have Intra-uterine device or not, oral contraceptive use, regular drug or hormonal preparation usage.Former gynaecological operations and applications recorded..Cervix,cervical canal, myometrium and ovaries were examined in sagittal and coronal section.After inspection of morphological pattern of endometrium, endometrial thickness of external borders measured and recorded in thickest place in longitudinal plane. II. Review Of Literature Diagnostic Hysteroscopy Instrumentation : TelescopesThe most important piece of equipment for hysteroscopy is the lens or telescope.The optics as well as the fiberoptic illumination bundles are packaged together in this single instrument.Most rigid telescopes range in diameter from 2 to 4 mm (o.d.).The best light shower and optical resolution are likely to be found in 4 mm (o.d.) instruments.However, for office hysteroscopy, as well as operative procedures, a 3 mm telescope can produce an acceptable video image particularly when magnified by means of a zoom video camera. The magnifying eyepiece. The transmitting lens systems.  Objective lens Fiberoptic Light CableFiberoptic cables transmit intense cold light to the telescope and form a conduit, which connects the high intensity (heat producing) generator to the telescope.The cable is filled with many incoherent drawn-out Comparitive Study Of Hysteroscopy And Transvaginal Sonography In Screening Of Patients...