ISSN: 2454-2342 (online), 2454-2334 (print)
Note: Licensing policy of the journal is changed from Volume 5 Issue 2 onwards. All contents will be under the terms of CC BY-NC-SA 4.0 henceforth.

The New Indian Journal of OBGYN. 9(2):338-343

Comparative assessment of histopathology of the endometrium with transvaginal sonography, color doppler, and hysteroscopy in perimenopausal bleeding

Medhavi Sharma, Vinod Choudhary


Background: Abnormal uterine bleeding (AUB) is a common gynecological presentation in outpatient clinic, but is often complex and difficult to diagnose. Objectives: The present study was undertaken to compare the diagnostic efficacy of trans-vaginal sonography (TVS), color doppler, and hysteroscopy with histopathology of endometrium in perimenopuasal bleeding cases. Method: 105 patients with AUB in the perimenopuasal and post-menopausal age group (40-73) were underwent USG-TVS and color doppler, and followed by dilatation and curettage and endometrium was sent for histopathological examination. Correlation of ultrasonographic & color doppler findings with histopathology finding was done. Results: 53.33% patients presented with perimenopausal bleeding and 46.66% postmenopausal bleeding. According to USG examination, maximum patients (62.5%) had endometrial thickness <12mm in perimenopausal group while in postmenopausal group only 10(20.4%) had <5mm and >5mm in 79.6%. On color doppler examination, 10(12.04%) patients were having lower RI compare to normal range (<0.3), of which 3 were in perimenopausal and 7 in postmenopausal age group. On hysteroscopy examination, endometrium was hyperplastic in 12 (11.42%), irregular growth 7 (6.66%), unhealthy cheesy 2(1.90%), cystic hyperplasia 1(0.95%). On HPR examination, simple hyperplasia was found in 51(48.57%) patients followed by atrophied 16(15.23%), endometrial carcinoma 8(7.61%), cystic mass 7(6.66%) and complex hyperplasia with (3.81%) and without atypia (3.81%). The prediction of endometrial carcinoma by TVS, color doppler showed sensitivity 80%, specificity 97.2%, positive predictive value 80% and negative predictive value 100%. Conclusion: Color doppler USG was as effective as histopathology examination in diagnosis of endometrial carcinoma. Thus we can avoid endometrial biopsy for diagnosis of endometrial malignancy if USG findings were normal.

doi: 10.21276/obgyn.2023.9.2.29 Full Text PDF
new link for FULL TEXT PDF
Aim & Scope
Editorial Board
Copyright Info
Plagiarism Prevention
Review Process
Peer Reviewers
Indexed / Listed in:
Index Copernicus, ISSN India, ROAD, Google Scholar, Journal, InfoBase Index, ESJI, SIS (Scientific Indexing Services), DOAJ
Volume 1 Issue 1
Volume 1 Issue 2
Volume 2 Issue 1
Volume 2 Issue 2
Volume 3 Issue 1
Volume 3 Issue 2
Volume 4 Issue 1
Volume 4 Issue 2
Volume 5 Issue 1
Volume 5 Issue 2
Volume 6 Issue 1
Volume 6 Issue 2
Volume 7 Issue 1
Volume 7 Issue 2
Volume 8 Issue 1
Volume 8 Issue 2
Volume 9 Issue 1
Volume 9 Issue 2
Volume 10 Issue 1
Volume 10 Issue 2
For Authors
Author Instructions
Submit your article to:
Article Status