Sonography evaluation of abnormal uterine bleeding in perimenopausal women with pathological correlation

Abstract

Context: Ultrasound plays an important role in the diagnosis of structural or organic causes of abnormal uterine bleeding in perimenopausal females, thereby aiding surgeons and gynecologist to plan an appropriate management plan for patients. Aims: The aim of the present study was to evaluate the sensitivity and specificity of ultrasound in abnormal uterine bleeding in perimenopausal females with pathological correlation. Settings and Design: A prospective study was conducted over a period of 2 years from 2017 to 2019. Materials and Methods: A total of 82 perimenopausal females with complaints of abnormal uterine bleeding were selected for this study. Transabdominal scan and wherever required transvaginal scan were done to assess any organic cause of abnormal bleeding. Later on, findings on ultrasound were correlated on pathological studies. Statistical Analysis Used: Statistical analysis was performed using descriptive and inferential statistics using sensitivity, specificity, positive predictive value, negative predictive value, diagnostic accuracy, descriptive statistics, and Chi-square test. Results: Sensitivity, specificity, positive predictive value, negative predictive value, and diagnostic accuracy of ultrasound in comparison to pathological studies were found to be 86.96%, 84.62%, 96.78%, 55%, and 86.58%, respectively. Conclusions: Ultrasound is a noninvasive and cost-effective modality with no risk of radiation exposure serves as a primary imaging modality in the evaluation of perimenopausal females with menstrual complaints.