A Study of Transvaginal Ultrasonography in diagnosis of Endometrial Pathology in abnormal Uterine Bleeding | [Pakistan Journal of Medical and Health Sciences • 2023]

Author(s):

1. SYEDA ALI: Gynecology Department, Nishtar Medical University, Multan, Pakistan

2. FARYAL AKHTAR: Gyanae Department, Multan Medical & Dental College, Multan, Pakistan

3. MAHAM MUNIR AWAN: Nishtar Medical University, Multan, Pakistan

4. MUSTAFA ALI SIDDIQUI: Radiology Department, CPEIC, Multan, Pakistan

5. HAMMAD AHMAD SAQIB: Radiology, CPEIC, Multan, Pakistan

6. MAHWISH ZAHRA: Radiology, Children Hospital & Institute of Child Health, Multan, Pakistan

7. M.M. KHAN: Community Medicine Department, NM&DC, USA

Abstract:

Objective: To evaluate the utility of transvaginal ultrasonography (TVS) in assessing the pathologic causes of Abnormal Uterine Bleeding (AUB). Methodology: The descriptive study was conducted in Gynecology Unit Nishtar Hospital Multan from July-2021 to July-2022. A total of 80 women with diagnosis of AUB were recruited. Every patient with an AUB underwent TVS. The thickness of the endometrium, its echogenicity, the size of the uterus, and any uterine or adnexal abnormality observed. Results: Mean age was 46.16±9.50 years with range 25-60 years. Regarding menopausal status, 35 (43.75%) females were pre-menopausal and 45 (56.25%) were post-menopausal.On TVS findings, normal proliferative endometrium was found in 26 (32.5%) cases, endometrial polyps in 22 (27.5%) cases,myomas in 12 (15.0%) cases, hyperplasia in 12 (15.0%) cases, endometrial atrophy in 5 (6.25%) cases, and suspicious looking endometrium in 3 (3.75%) cases. Practical Implications: The study is very useful, knowledgeable, cost efficient and cost effective. Conclusion: TVS is a safe, rapid and cost-effective modality for the diagnosis of endometrial pathologies. Endometrial polyps, myomas and hyperplasia are common cause of AUB.

Page(s): 275-276

DOI: 10.53350/pjmhs2023171275

Published: Journal: Pakistan Journal of Medical and Health Sciences, Volume: 17, Issue: 1, Year: 2023

Keywords:

abnormal uterine bleeding , Transvaginal ultrasonography , polyps

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