The diagnostic function of office hysteroscopy and three-dimensional (3D) endometrial volume measurement in the evaluation of women with perimenopausal bleeding

Abstract

Background: In the peri-and postmenopausal years, abnormal uterine bleeding (AUB) is the most prevalent reason for gynecological appointments. Aim of the work:To see how office hysteroscopy and three-dimensional (3D) ultrasonographic measurements of endometrial volume affected endometrial volume and if those methods could predict malignant conditions and hyperplasia of the endometrium and if they could exclude serious intrauterine pathology in perimenopausal women with irregular uterine bleeding to minimize further operative interventions, especially for surgically high-risk patients or not?. Patients and methods: This study was conducted at Al Azhar University in Al Hussein university hospital from March 2017 to October 2019 Obstetrics and Gynecology department. The research included 100 studied cases complaining of perimenopausal bleeding at the outpatient clinic. Results: hyperplasia followed by complex endometrial hyperplasia and only 1 case of endometrial carcinoma was discovered. In group 2 most common endometrial histopathology was discovered proliferative endometrium then secretory endometrium and 6 cases of atrophic endometrium. Conclusion:In cases of perimenopausal bleeding, this study demonstrated the diagnostic value of office hysteroscopy and threedimensional (3D) ultrasonographic endometrial volume measurement, and showed that combining those 2 modalities of diagnosis had led to increase the ability & sensitivity of diagnosis and With perimenopausal women with irregular uterine bleeding, the capacity to rule out significant intrauterine disease to minimize further operative interventions, especially for surgically high-risk patients.

Ultrasound Findings versus Hysteroscopic Guided Endometrial Histopathological Findings in Women with Postmenopausal Bleeding

“…Normal and atrophic endometrium was observed in 37.3% of cases, while endometrial hyperplasia was observed in 54.2% and endometrial polyps in 6.8%. These results are in line with previous studies that have reported a higher incidence of benign results in women with postmenopausal bleeding (12)(13)(14).…”

The Role of Office Hysteroscopy in The Diagnosis of Uterine Pathology in Cases with Perimenopausal Bleeding

“…Also, our findings in line with Nafad et al (14) who demonstrated that menorrhagia accounted for 31 percent of instances, whereas menometrorrhagia (28 percent), metrorrhagia (21 percent), and polymenorrhoea (20 percent) were the most prevalent bleeding patterns.…”