Publication:

A study of role of colour Doppler in evaluation of abnormal uterine bleeding at medicine and gynecology departments at a tertiary care institute of central India

Background Abnormal uterine bleeding (AUB) at any age in women’s life is disruptive and worrisome. The purpose of the study is to determine the effectiveness of color Doppler transvaginal ultrasonography (CDTU) in detection of intrauterine pathology in those patients with abnormal uterine bleeding.

Methods The present study was conducted on 50 patients of AUB selected from Gynecology and Medicine OPD of M.G.M. Medical College and M.Y. and associated group of hospitals, Indore during the period of May 2012 to December 2012. All patients underwent D&C (for endometrial biopsy) to evaluate ultrasonographic findings. Ultrasonographic variables considered were: endometrial thickness, gray-scale and color Doppler sonographic findings, resistance index and pulsatility index.

Results CDTU showed abnormal studies in 11 patients (22%) cases. Endometrial biopsy revealed abnormalities in 14 women. 91% of cases, which were having abnormal CDTU, had abnormal endometrium. 10% cases were missed by CDTU and were having abnormal HPR of which 67% had simple endometrial hyperplasia; rest 33%-cystic glandular hyperplasia. In abnormal CDTU finding group, only 9% cases had normal HPR. Color doppler effectively diagnosed all the malignant and potentially malignant states.

Conclusions CDTU can be used to as an effective tool in woman with evaluation of AUB after TVS has been performed for visualizing endometrium.