Ambulatory Hysteroscopy in Abnormal Uterine Bleeding: A Tertiary Care Hospital Perspective

Authors

  • Nabila Iram Department of Obstetrics and Gynecology, Prince Alexandra Hospital, Harlow, United Kingdom
  • Bushra Zahid Saeed Department of Obstetrics and Gynecology, Prince Alexandra Hospital, Harlow, United Kingdom
  • Shagufta Parveen Department of Obstetrics and Gynecology, CMH Kharian Medical College, Kharian, Pakistan

DOI:

https://doi.org/10.53685/jshmdc.v3i2.122

Keywords:

Outpatient hysteroscopy, Endometrial biopsy, Abnormal uterine bleeding

Abstract

Background: To avoid delays in outpatient facilities for managing benign gynecological conditions like abnormal uterine bleeding (AUB), there is a need to evaluate the usage of unconventional methods like outpatient hysteroscopy.

Objectives: To evaluate the usage of outpatient diagnostic hysteroscopy in women with abnormal uterine bleeding.

Methods: An observational study was conducted at the Obstetrics and Gynecology Department of Combined Military Hospital, Kharian. The study included 56 women having AUB with or without a history of failed medical treatment. The study participants underwent outpatient diagnostic hysteroscopy. Diagnostic hysteroscopy was done under the local para-cervical block in the Outpatient department. Procedure indications, outcome and biopsy findings were recorded on predesigned proformas.

Results: Median age of the study participants was 44 years. The most common indications for diagnostic hysteroscopy were postmenopausal bleeding (34%) and heavy menstrual bleeding (28%). Hysteroscopy outcomes included endometrial biopsy (34%), discharge with no biopsy (25%), further test and evaluations required (21%), and admission due to failed outpatient procedures (20%). Sixty-two percent of the study participants had normal biopsy findings while other biopsy findings included polyps (20%), fibroids (14%) and endometrial hyperplasia (4%). Nine percent had unsuccessful hysteroscopy due to patient refusal to proceed.

Conclusion: Outpatient hysteroscopy can be helpful in the early and rapid diagnosis of women with abnormal uterine bleeding.

 

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Published

12/30/2022

How to Cite

1.
Iram N, Saeed BZ, Parveen S. Ambulatory Hysteroscopy in Abnormal Uterine Bleeding: A Tertiary Care Hospital Perspective. J Shalamar Med Dent Coll [Internet]. 2022 Dec. 30 [cited 2024 Apr. 24];3(2):71-5. Available from: https://journal.smdc.edu.pk/index.php/journal/article/view/122

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Section

Original Articles