TO STUDY THE EFFICACY OF SONOHYSTEROGRAPHY IN THE EVALUATION OF ABNORMAL UTERINE BLEEDING

Background & objectives: Abnormal uterine bleeding is commonly encountered gynaecological complaint and an important source of morbidity. This study addresses the accuracy of sonohysterography as baseline investigative modality in evaluation of abnormal uterine bleeding and to assess the necessity and type of further investigation or intervention. To assess the accuracy of sonohysterography in the diagnosis of intracavitary uterine lesions is compared to that of hysteroscopy Methods : 25 patients presenting with AUB, were subjected to sonohysterography as an out patient procedure followed by hysteroscopy after admission into hospital. The findings of  sonohysterography and hysteroscopy were compared with histopathological findings of tissues obtained from hysteroscopy/hysterectomy/ dilatation and curettage. Efficacy of sonohysterography has been compared to that of hysteroscopy in diagnosing intracavitary lesions in patients presenting with abnormal uterine bleeding. Conclusion: This study concludes that with it’s high sensitivity and high negative predictive value, sonohysterography can be used as an initial screening procedure in the evaluation of AUB and to determine the best surgical technique of treating the anatomical cause.