Identification of pathology of abnormal uterine bleeding by hysteroscopy in women with failed medical management

Sravani Mangam*, Michelle Tanaka Mabuto, Girija Bhavani Maddu, Mahitha Kanumuri, Venkata Lakshmi Makkireddi

Department of Pharmacy Practice, Aditya College of Pharmacy, Surampalem, Andhra Pradesh, India

Refer this article

Sravani Mangam, Michelle Tanaka Mabuto, Girija Bhavani Maddu, Mahitha Kanumuri, Venkata Lakshmi Makkireddi, 2026. Identification of pathology of abnormal uterine bleeding by hysteroscopy in women with failed medical management. Journal of medical pharmaceutical and allied sciences, V 15, I 2, Pages 39 – 46. Doi: https://doi.org/10.55522/jmpas.V15I2.7011

ABSTRACT

Abnormal uterine bleeding (AUB) is any menstrual cycle perturbation characterized by alterations in bleeding amount, frequency or duration that occur outside of pregnancy. It makes up to 70% of visits to gynecologists in both outpatient and inpatient practice. Hysteroscopy comes from the Greek words hystero meaning uterus and scopy meaning to look. It is the direct visualization of the cavity of the uterus by a doctor. Before hysteroscopy procedures were performed such as dilatation and curettage (D&C) or pipelle biopsy but it has now been replaced by more accurate and less invasive hysteroscopy. This prospective observational study was conducted from October 2024 to March 2025. A total of 50–80 patients diagnosed with AUB were evaluated using hysteroscopy. The correlation between ultrasonography (USG) findings and hysteroscopic findings was analysed using the Chi-Square test. Most AUB cases occurred in women aged 40–49 years. Significant correlations were found between: Polyps and polypoidal growth (P < 0>).

Keywords:

Abnormal uterine bleeding, Hysteroscopy, Ultrasonography, Fibroids, Endometrium.

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