الفهرس 
Abnormal Uterine BleedingOnly 14 pages are availabe for public view
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Abstract
Abnormal uterine bleeding (AUB) is an alteration in the volume, pattern, and or duration of menstrual blood flow and it is the most common reason for gynecologic referrals.
Hysteroscopy is the process of viewing and operating in the endometrial cavity from a transcervical approach. It is a minimally invasive intervention that can be used to diagnose and treat many intrauterine and endocervical problems.
Diagnostic hysteroscopy provides information not obtained by blind endometrial sampling, such as detection of endometrial polyps or submucous leiomyomas.
The aim of this study was to evaluate the accuracy of office hysteroscopy in evaluating cases of abnormal uterine bleeding.
This cross sectional study was conducted at the Early Cancer Detection Unit of Ain Shams Maternity Hospital in the period from July 2014 to March 2015.
The study included 112 women presenting with abnormal uterine bleeding. All the selected patients had subjected to careful history taking and then underwent general examination, local pelvic examination, trasnsvaginal ultrasound, office hysteroscopy and histopathological examination of the specimens obtained.
The findings of hysteroscopy were compared with the histopathological reports.
This study revealed that sensitivity, specificity, positive predictive value (PPV), negative predictive value (NPV) and accuracy of hysteroscopy in diagnosis of normal endometrium were 80%, 52%, 66%, 69% and 67% respectively.
For endometrial carcinoma, sensitivity, specificity, PPV, NPV and diagnostic accuracy of hysteroscopy were 80%, 100%, 100%, 98% and 98% respectively.
For endometrial polyps, sensitivity, specificity, PPV, NPV and diagnostic accuracy of hysteroscopy were 50%, 94%, 84%, 76% and 78% respectively.
This study concluded that office hysteroscopy can be used as a first step to rule out patients with no obvious intrauterine serious pathology. Also it can be used as a reliable diagnostic method for diagnosis of endometrial carcinoma.