Role of diagnostic hysteroscopy in abnormal uterine bleeding and its histo pathological correlation

Abnormal uterine bleeding is one of the most common clinical problems the gynecologists come across in their clinical practice. It affects a woman’s physical and mental health and has a huge impact on clinical workload. The present study was aimed to study the accuracy of hysteroscopy in evaluation of abnormal uterine bleeding and to correlate hysteroscopic findings with histopathological findings. Among the women reporting to the OPD of Lal Ded Hospital an associated hospital of Government Medical college, Srinagar majority of women belonged to the perimenopausal age group of 40 to 49 years. Menorrhagia was found to be the most common complaint. Hysteroscopy revealed normal endometrium in most of the cases, endometrial hyperplasia in 15% of cases followed by endometrial polyps, cervical polyps and myomas. HPE showed proliferative type of endometrium present in majority of patients i.e., around 410 (82%). About 80 patients presented with simple hyperplasia without atypia (16%). And simple hyperplasia with atypia in 9 i.e., 1.8% of patients. 1 patient revealed endometrial adenocarcinoma on histopathology. This study proved Hysteroscopy to be the gold standard for evaluation of AUB. Endometrial biopsy with hysteroscopy helps in supplementing the diagnostic accuracy of hysteroscopy.