DOI: http://dx.doi.org/10.18203/2320-1770.ijrcog20213484

Study of endometrium by trans-vaginal sonography and it’s correlation with histopathology in perimenopausal women with abnormal uterine bleeding

Vandana R. Saravade, Shuchi Chaturvedi

Abstract


Background: Objectives of the study were to study the endometrial patterns in cases of abnormal uterine bleeding (AUB) and anatomical (structural) lesions of uterus using transvaginal sonography (TVS) and endometrial histopathology and to determine the efficacy of TVS.

Methods: Cross-section study of 50 perimenopausal age group with AUB in TNMC BYL Nair hospital from Nov 2017 to Nov 2018.

Results: AUB was seen 40 to 45 years multiparous women TVS endometrial thickness (ET) T 6-10 mm (46%), ET 11-15 (22%), ET>15 mm (14%), <5 mm in (18%), showed 21 (42%) patients with endometrial hyperplasia on TVS, 12 (24%) simple hyperplasia 4 (8%) complex hyperplasia on histopathology fibroid 8%, adenomyosis 2%. endometrial polyp 6%.

Conclusions: Endometrial lining exceeds 10 mm dilation and curettage to be done r/o endometrial hyperplasia, to study the endometrial patterns in cases of abnormal uterine bleeding and anatomical (structural) lesions of uterus using transvaginal sonography and endometrial histopathology.


Keywords


Abnormal uterine bleeding, Menstruation, Ovarian hormones

Full Text:

PDF

References


Shobhitha GL, Indira Kumari V, Priya PL, Sundari TB. Endometrial Study by TVS and It’s Correlation with Histopathology in Abnormal Uterine Bleeding. J Dental Med Sci. 2015;14(4):21-32.

Woolock JG, Critchley HO, Munro MG, Broder MS, Fraser IS. Review of the confusion in current and 80. Fertil Steril. 2008;90(6):2269-80.

Munro MG, Crissstchley Ho, Broder MS, Eraser IS. For the FIGO working group on Menstrual Disorders. FIGO classification system (PALM-COEIN) for causes of abnormal uterine bleeding in non-gravid women of reproduction age. Int J Gynacol obstet. 2011;113:3-13.

Stein G Sr, Zeltser, Horan CK, Snyder JR, Schwartz LB. Ultra-sonography-base triage for perimenopausal patients with abnormal uterine bleeding. AMJ obstet Gynecol. 1997;177:102-8.

Subhankar D. Abnormal Uterine Bleeding in Peri-Menopausal Age: Diagnostic Options and Accuracy. J Obstetr Gynecol India. 2011;189-94.

Gupta JK, Chien PF, Voit D. Ultrasonographic endometrial thickness for diagnosing endometrialpathology in women with postmenopausal bleeding: a meta-analysis. Acta Obstet Gynecol Scand. 2002;81:799-816.

Choudhary J. Evaluation of abnormal uterine bleeding with transvaginal sonography and hysteroscopy in perimenopausal women. Int J Reprod Contracept Obstet Gynecol. 2017;6(8):3607-13.

Maboud NMA, Elsaid HH. Role of transvaginal ultrasonography and colour Doppler in the evaluation of postmenopausal bleeding. Egypt J Radiol Nuclear Med. 2015;46:235-43.

Shobhitha GL, Indira Kumari V, Priya PL, Sundari TB. Endometrial Study by TVS and It’s Correlation with Histopathology in Abnormal Uterine Bleeding. J Dental Med Sci. 2015;14(4):21-32.

Srikanth S. Histopathological study of endometrial lesions in patients in a Tertiary care hospital in north Telangana. Int J Sci Res. 2015;7(5):2277.

Sur D, Chakravorty R. Correlation of Endometrial Thickness and Histopathology in Women with Abnormal Uterine Bleeding. Reprod Syst Sex Disord. 2016;5:192.

Shajitha S. Tthe study of endometrial thickness by transvaginal USG with its Histopathology correlation in abnormal uterine bleeding. Int J Current Med Pharmaceutical Res. 2017;3(10):2487-90.

Mehrotra VG, Mukherjee K, Pandey M, Samanth V. Abnormal uterine bleeding (a review of 150 cases). J Obstet Gynecol India. 1972;22:684-9.

Pilli GS, Seth SB. Dysfunctional uterine bleeding-a study of 100 cases. J Obstet Gynecol of India. 2002;52(3):87-9.

Zarawar MP, Bolde S. Histopathological study of endometrium in dysfunctional uterine bleeding. Solapur Med J. 2005;1(4).

Archana B, Michelle F. Evaluation and histopahological correlation of abnormal uterine bleeding in perimenopausal women. J Bombay Hosp. 2010;52:69-72.

Pillai SS. Sonographic and histopathological correlation and evaluation of endometrium in perimenopausal women with abnormal uterine bleeding. Int J Reprod Contracept Obstet Gynecol. 2014;3(1):113-7.

Thulasi P, Balakrishnan R, Shanthi M. Correlation of endometrial thickness by Trans-Vaginal Sonography [TVS] and histopathology. Indian J Obstetr Gynecol Res. 2018;5(1):44-8.

Shrestha P, Shrestha S, Mahato V. Is Ultrasonography helpful in abnormal uterine bleeding? Asian J Med Sci. 2018;9(2):31-5.

Tavassoli FA, Devilee P. Pathology and genetics of tumours of the breast and female genital organs. Tumors of the uterine corpus. In WHO classifications of tumours. IARC Press, Lyon France. 2003;221-32.

Vercellini P, Cortesi I, Oldani S. The role of transvaginal ultrasonography and outpatient diagnostic hysteroscopy in the evaluation of patients with menorrhagia. Hum Reprod. 1997;12:1768-71.