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Original Research | Obstetrics and Gynecology | Volume 15 Issue 5, May 2026 | Pages: 747 - 751 | India
Hysteroscopic and Clinico-Pathological Evaluation of Abnormal Uterine Bleeding: A Retrospective Study
Abstract: Background: Abnormal uterine bleeding (AUB) is a common gynaecological complaint affecting women of all reproductive age groups. Hysteroscopy enables direct visualization of the endometrial cavity and offers superior diagnostic capability compared to blind sampling techniques. Objective: To assess hysteroscopic findings in women with AUB and evaluate their correlation with histopathological examination (HPE). Methods: A retrospective observational study was conducted on 64 women presenting with AUB who underwent hysteroscopy followed by endometrial sampling over 2 years. Demographic data, clinical presentation, hysteroscopic findings, and HPE results were analyzed. Diagnostic performance was measured using sensitivity, specificity, positive predictive value (PPV), negative predictive value (NPV), and accuracy. Results: The mean age was 42.3 ? 6.8 years. Menorrhagia (62.5%) was the most frequent symptom. Hysteroscopy detected endometrial polyps (42.6%) and submucous fibroids (19.7%) as the most common lesions. The highest concordance between hysteroscopy and HPE was observed for carcinoma (100%), followed by polyps and fibroids (both 91.7%). Hysteroscopy showed high diagnostic accuracy for polyps (89%) and fibroids (89%). Conclusion: Hysteroscopy is a reliable and accurate modality for evaluating AUB, demonstrating strong correlation with histopathological findings. Its routine use can enhance diagnostic accuracy and guide definitive management.
Keywords: Abnormal uterine bleeding, hysteroscopy, histopathology, diagnostic accuracy, endometrial polyps, submucous fibroid
How to Cite?: Dr. Durga Valvi, Dr. Rachana Barkale, Dr. Himangi S. Warke, Dr. Karubaki Utkalika, "Hysteroscopic and Clinico-Pathological Evaluation of Abnormal Uterine Bleeding: A Retrospective Study", Volume 15 Issue 5, May 2026, International Journal of Science and Research (IJSR), Pages: 747-751, https://www.ijsr.net/getabstract.php?paperid=SR26508174423, DOI: https://dx.doi.org/10.21275/SR26508174423