Open AccessEndometrial biopsy is an important diagnostic tool for the evaluation of abnormal uterine bleeding
Author(s) -
Jaafar Sadeq Makki,
Ali hussein Al Khafaj
Publication year - 2021
Publication title -
journal port science research
Language(s) - English
Resource type - Journals
eISSN - 2616-7220
pISSN - 2616-6232
DOI - 10.36371/port.2021.5
Subject(s) - medicine , curette , endometrial biopsy , endometritis , endometrium , endometrial polyp , endometrial hyperplasia , perforation , vaginal bleeding , biopsy , gynecology , obstetrics , surgery , pregnancy , materials science , biology , metallurgy , punching , genetics
In this study 100 biopsies were taken from the endometrium of childbearing women (18-50 yrs. of age) suffering from abnormal vaginal bleeding from Jan 2019-Dec 2019. Endometrial Biopsy (EB) is safe, an outpatient procedure, low cost, carries out without general anesthesia & the incidence of hemorrhage, infection & uterine perforation are less common than with D&C. EB is an alternative to dilatation & curette (D&C) for the evaluation of infertile & abnormal vaginal bleeding or dysmenorrheic patients. There are two main groups of causes to irregular vaginal bleeding. 1. Organic disease (74% of the cases), in this group there are obvious lesion such as, endometrial polyp, endometrial hyperplasia & chronic endometritis. The most common cause was endometrial hyperplasia 48%, it is commonly seen during the perimenopausal period (40-50yr). Less common causes include chronic endometritis 8%, hydatidiform mole 7%, and endometrial polyp 7%. 2. non-organic disease comprises 19% of all cases, anovulatory period 13% or Luteal phase insufficiency 6%. They are commonly seen from age of 18-40yrs. 6% of the cases found to have normal endometrium. 5 endometrial biopsies were inadequate & unsatisfactory for histopathological interpretation. The aim of this study is to evaluate the usefulness & disadvantages of EB & to compare it with the traditional method of endometrial curette.