European Journal of Molecular & Clinical Medicine

Abstract

Abnormal uterine bleeding (AUB) is defined as any bleeding from genital tract that is deviation from the normal frequency, cyclicity, duration or quantity.
AIM : To assess the efficacy of saline hysterography in the evaluation of Mennorhagia.To evaluate the information derived from Vaginal ultrasonography
METHODOLOGY : All patients were in reproductive age group with complaints of abnormal uterine bleedingSpecific history was taken to rule out the systemic disorders responsible for abnormal uterine bleeding. Clinical examination ,Laboratory investigations were conducted. These patients underwent Transvaginal Sonography and Saline Infusion Sonohysterography.
RESULTS : Sensitivity of the Saline infusion sono hysterography (SIS) in predicting the abnormal findings as compared to the transvaginal USG was 93.6% and the specificity was found to be 100%.
The positive predictive value was found to be 100% and the negative predictive value was 97.8%
CONCLUSION :  Transvaginal sonography and saline infusion sonohysterography together is a very sensitive and specific technique for diagnosing any intrauterine abnormality in cases of menorrhagia. SIS outlines the uterine cavity, any myoma, polyp or endometrial abnormality, missed or transvaginal ultrasound alone is identified accurately with this additional technique . No complications, either related to insertion of catheter or any infection is associated.  Therefore combined use of both these techniques play a significant role in the evaluation of menorrhagia