Background: 70% of all gynecological consultations are for abnormal uterine\nbleeding. Any approach to optimal management begins with an appropriate\ndiagnosis. 40% of premenopausal women with abnormal uterine bleeding\nwere found to have some intrauterine pathology. This study aims to compare\nthe diagnostic value of transvaginal ultrasonography in comparison to hysteroscopy\nin detecting uterine abnormalities in patients with abnormal uterine\nbleeding. Methods: Retrospective observational cross sectional study of 250\nwomen presented with abnormal uterine bleeding. The patients who fulfilled\nthe selection criteria and have been sequentially investigated by transvaginal\nultrasound (TVS) and hysteroscopy were included. Results: 90% of patients\nwere from 35 - 49 yrs. 81.2% of patients have body mass index above 25 kg/m2.\nTransvaginal ultrasound (TVS) compared well with high sensitivity as regards\nnormal endometrium. (TVS) missed 4 patients of endometrial polyps and one\npatient of sub mucous fibroid. Three patients of adenomyosis were only diagnosed\nby (TVS); they were reported as being normal by hysteroscopy. Conclusion:\n(TVS) is considered as an excellent approach to the initial evaluation\nof uterine pathologies in patients with abnormal uterine bleeding.
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