Citation Information :
Godi P, Verma P. Prevalence of Hysteroscopic Findings in Postmenopausal Bleeding Patients and Its Correlation with Clinicohistopathologic Diagnosis. J South Asian Feder Obs Gynae 2020; 12 (6):353-358.
Introduction: Menopause is defined as permanent cessation of menstruation, caused by ovarian failure. Average age of menopause is 52 years, with a range of 40–58 years. Women in developed world will live approximately 30 years, or greater than a third of her life, beyond menopause. Therefore, it is important to ensure these years are as healthy and productive as possible. Any amount of postmenopausal bleeding (PMB) is of great concern and it has to be evaluated thoroughly. Aim: To evaluate hysteroscopic findings in women with PMB in order to ascertain various causes of PMB and to determine their prevalence in our population and its correlation with histopathologic examination. Materials and methods: This was a prospective observation study, comprising a total number of 50 postmenopausal women attending Gyne OPD at Department of Obstetrics and Gynaecology, Command Hospital (CH), Lucknow, Uttar Pradesh, carried out over 1 year. Postmenopausal women with UV prolapse, bleeding diathesis, surgical menopause, and cardiac diseases were excluded from the study. After taking detailed history, thorough clinical examination, and informed consent, patients are subjected to transvaginal sonography followed by hysteroscopy with office hysteroscope and wherever necessary, endometrial biopsy was taken. Final diagnosis was established with the help of clinicohistopathologic workup. Results: The present study was carried out to evaluate hysteroscopically the causes of PMB. For this purpose, a total of 50 women with complaints of PMB were enrolled in the study. Age of patients ranged from 41–80 years. On hysteroscopy, half the cases (n = 25; 50%) were diagnosed as polyps followed by atrophic endometrium (n = 8; 16%). There were 7 (14%) cases in whom the cervix was classified as unhealthy without any particular diagnosis. A total of 5 (10%) cases were diagnosed as fibroid, 1 (2%) each as hyperplasia and degenerative changes, and 3 (6%) as endometrial carcinoma. These findings are well correlate with clinicohistopathologic diagnosis. Conclusion: Hysteroscopy is an office procedure that can be performed as a daycare procedure, provides a better view of various structural pathologies, and in case of a doubtful pathology, helps in obtaining endometrial sample to confirm the diagnosis.
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