ROLE OF HYSTEROSCOPY IN PATIENTS WITH ABNORMAL UTERINE BLEEDING AND ITS HISTOPATHOLOGICAL CO-RELATION

Introduction: Abnormal uterine bleeding (AUB) is a common gynecological concern that presents significant diagnostic challenges, particularly because it encompasses a wide range of possible underlying causes, from benign conditions like polyps and fibroids to more serious pathologies such as endometrial cancer. This study aimed to assess the diagnostic accuracy of hysteroscopy in AUB and its concordance with histopathological findings. Materials and Methods: Fifty consecutive women, aged 30-70 years, with AUB were prospectively enrolled. Each underwent hysteroscopy followed by dilatation and curettage (D&C). Clinical data, hysteroscopic findings, and histopathological analysis of endometrial samples were systematically recorded and analyzed. Results: The average age of participants was 43.8 years, with endometrial polyps being the most common abnormality detected on hysteroscopy, accounting for 30% of cases. Hysteroscopy demonstrated 100% sensitivity and 92% specificity. Histopathology, however, missed 10% of polyps and 4% of hyperplasia cases. Mild anemia was present in 66% of patients, indicating potential blood loss due to AUB. Conclusion: Hysteroscopy showed a high diagnostic yield for structural causes of AUB, particularly in detecting endometrial polyps. Its integration into the diagnostic algorithm for AUB enhances diagnostic accuracy and can guide appropriate management decisions. Given its high sensitivity, hysteroscopy is a valuable tool for the evaluation and treatment planning of women with AUB, potentially reducing diagnostic delays and improving clinical outcomes.