The Role of TVSG and HS in Determining Endometrial Pathologies

Sisli Hamidiye Etfal Training and Research Hospital

Status: Completed

Conditions: Abnormal Uterine Bleeding

Treatments: Device: Transvaginal ultrasound; Device: Hysteroscopy

Study type: Interventional

Funder types: Other

Identifiers

NCT03441087

349

Details and patient eligibility

About

Although hysteroscopy (HS) and transvaginal ultrasonography (TVSG) are methods in the diagnosis of AUB, there is some suspicion about their efficacy. The aim of this study was to determine the efficacy and safety of HS and TVSG on diagnosing abnormal uterine bleeding(AUB) .216 women admitted to the investigators clinic (Sisli Ethal Training and Research Hospital, Obstetrics and Gynecology Department Obstetrics Service ) between 21-51 years of age. These patients were divided into two groups; menopause (71women) and pre-menopause (145 women). HS and endometrial sampling were performed both groups after TVSG.The success of these methods was assessed by kappa analysis

Enrollment: 216 patients

Sex: Female

Ages: 21 to 51 years old

Volunteers: Accepts Healthy Volunteers

Inclusion criteria

• patients who have no history of hysteroscopy and curettage,
• patients who have no history of ovulatory dysfunction
• women who have active vaginal bleeding.

Exclusion criteria

• presence of genital infections/PID
• presence of pregnancy
• presence of vaginal or cervical pathology causing vaginal bleeding
• women who are receiving hormonal treatment (COC/HRT)
• patients formerly diagnosed with endometrial pathology
• patients having coagulopathy
• women who are using intrauterine device.

Trial design

Primary purpose: Diagnostic

Allocation: Non-Randomized

Interventional model: Parallel Assignment

Masking: Triple Blind

---

216 participants in 2 patient groups

Transvaginal ultrasound

Other group

Description:

Transvaginal ultrasound was applied 216 women with abnormal uterine bleeding.The transvaginal ultrasound diagnoses were compared with the received endometrial samples.

Treatment:

Device: Transvaginal ultrasound

Hysteroscopy

Other group

Description:

Hysteroscopy was also performed under general anesthesia.Hysteroscopy was performed by a single operator (NNY).The operator and two supervising endoscopists were blinded to the ultrasound results.After the hysteroscopy, endometrial sampling was also done. The diagnoses were compared with the received endometrial samples.

Treatment:

Device: Hysteroscopy