Transvaginal Sonography(TVS) & Saline Infusion Sonohysterography (SIS) in the Evaluation of Abnormal Uterine Bleeding (AUB) & its Correlation with Histopathological Examination Report

Menstrual dysfunction is a cause of discomfort and inconvenience disrupting the life style of millions of women. It is a commonly encountered problem in gynaecological practice, accounting for 15% of outpatients and almost 25% of gynaecological surgeries. Therefore, early detection of the cause for such dysfunction is important for further management. The present study was aimed at to determine the accuracy of transvaginal ultrasonography and saline infusion sonohysterography in the evaluation of abnormal uterine bleeding and to correlate their diagnostic accuracy after hysterectomy with histopathological examination report. It was a prospective study conducted on 50 patients with complaints of abnormal uterine bleeding who attended the department of Obstetrics and Gynecology, Mamata general hospital, Khammam and underwent Transvaginal ultrasonography, followed by saline infusion sonohysterography and the findings were interpreted. Results showed that saline infusion sonohysterography is a simple highly sensitive and specific technique to detect intrauterine pathology in the evaluation of abnormal uterine bleeding when Transvaginal sonography findings are inconclusive. Saline infusion sonohysterography outlines the uterine cavity, detects myoma, polyp or endometrial abnormality, missed on transvaginal ultrasound alone.