Abnormal uterine bleeding is one of the most common reasons for women seeking gynecological advice.
Intrauterine abnormalities are the leading cause of abnormal uterine bleeding. 3-D Sonohysterography is safe,
non-invasive and highly sensitive and specific method for diagnostic of endometrial abnormalities.
Its results closely correspond to Hysteroscopic results that is more invasive and expensive combined with histopathological analysis.
Abnormal uterine bleeding is a cause of gynecologic consultations in approximately 70% of all women has gynecologic symptoms.
The most common causes of abnormal uterine bleeding are benign causes,
such as leiomyomas or fibroids,
and endometrial hyperplasia.
The most common gynecologic findings in premenopausal women are leiomyomas.
From 0.8% to 4.8% of endometrial polyps have tendency to be malignant in postmenopausal women complaining of abnormal uterine...
Findings and procedure details
Sonohysterography (SIS) Technique: Saline infusion Sonohysterography is typically scheduled in the early follicular phase before day 10 of the cycle.
A vaginal speculum with lock (WVS1) is inserted into the vagina,
and the cervix is cleansed with betadine solution.
Topical xylocaine gel can be used to decrease pain during the procedure.
An intra-uterine soft balloon HSG catheter (F7) is then threaded into the endometrium,
and the speculum is removed and the vaginal transducer is inserted....
The gold standard for diagnosis of intrauterine abnormalities is Diagnostic hysteroscopy combined with a histological examination of endometrial aspiration or biopsy in women with AUB.
As it helps in direct visualization of the whole uterine cavity.
if it is compared with ultrasound examination,
it is expensive and invasive,
and in the 50% of women who have a normal uterine cavity,
it is unnecessary. 3D Sonohysterography is a safe,
non-invasive and highly sensitive and specific...
Personal information: Dr Nehal Mohamed Saloum. Clinical Fellow,
Diagnostic Imaging. Hamad Medical Corporation,
Qatar. Email: email@example.com.
Abnormal uterine bleeding in perimenopausal women: Correlation with sonographic findings and histopathological examination of hysterectomy specimens.Journal of Mid-Life Health.
2016; 7:73-77. 2. Abd Elkhalek Y.I,
Comparison of 3 dimensional sonohysterography and hysteroscopy in Premenopausal women with abnormal uterine bleeding The Egyptian Journal of Radiology and Nuclear Medicine.
2016; 47:1117-1122. 3.
Endometrial polyps in postmenopausal...