Study of Usefulness of Endometrial Pipelle Biopsy Procedure in an Endometrial Sampling of Abnormal Uterine Bleeding

Introduction: Abnormal bleeding from uterus is a commonly encountered complaint in gynecological practice.As per the National Health Portal report of India (2017) prevalence of AUB is 17.9%.A Gynae Endocrine Society of India (GESI) initiative in collaboration with Endocrine Committee of Association of Obstetrics and Gynecologists of India recommended that endometrial aspiration is preferred procedure for taking endometrial sample for histopathology examination in place of Dilatation and curettage.D&C should not be the procedure of choice for endometrial assessment.Methodology: A retrospective analysis was done of the abnormal uterine bleeding (AUB) cases who underwent endometrial biopsy using pipelle procedure.The duration of study was from January 2016 to December 2017 at the Private Hospital Clinic of Shivpuri, Madhya Pradesh.Those women who had complaints of AUB were included and as per the recommended protocol for AUB management by GESI required endometrial sampling.Case records of patients those who had undergone endometrial biopsy by pipelle procedure were analyzed.The procedure was "successful" if the cervical os was negotiated successfully and even if after three attempts failed to negotiate cervix it was a "failure."Result: Of the total 230 cases attempted for pipelle procedure, 227 cases (98.69%) were successful.The 98% cases the sample obtained was satisfactory.41.40% of cases were in the age group of 30-40 years.Maximum cases (44.49%) were para 3. Rural cases were 78.41% of the total cases.The presenting symptoms majority were menometorrhagia (49.33%).Histopathology reports were negative for malignancy (60.79%).Hyperplasia without atypical (12.33%) positive suspicious for malignant tumor (0.44%) atrophic endometrium (4.40%) endometrits (9.69%). Conclusion: Pipelle biopsy procedure is a simple, easy, patient friendly technique to obtain endometrial biopsy on the outpatient basis without need of patient admission and anesthesia