Role of Hysteroscopy (HSY) in the Management of Abnormal Uterine Bleeding (AUB) in women with an Intact Hymen

Volume 2 - Issue 2

Aisha M Elbareg*

Received: January 04, 2019;   Published: January 11, 2019

DOI: 10.32474/OAJRSD.2019.02.000132

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Abstract

Background & Objectives: Virginity, is considered as a sign of sexual purity in many societies, and damage to the hymen carries with its serious social implications for patients. Based on these issues & because of (HSY) being the only technique that provides direct visualization of uterine cavity, our aim of this study was to assess its role in diagnosis & treatment of uterine pathology causing (AUB) in 17 unmarried patients with an intact hymen.

Materials & Methods: Medical records of these patients for whom HSY were performed during a period of one year, at AL-Amal hospital, were studied retrospectively. All underwent diagnostic HSY & operative (when necessary). Outcomes: treatment success (neither hymen nor cervix were injured), menstrual flow reduction, need of second operation, patient satisfaction & complications. Treatment was considered as a failure if hymen or cervix was injured or with repeated attacks of AUB.

Results: All went smoothly, neither hymen nor cervix were injured, no uterine perforations were encountered. Mean follow-up period was 3 months. All patients but one (treatment failure, with repeated attacks of AUB) were satisfied and showed menstrual improvement.

Conclusions: HSY, a minimally invasive procedure, found to be reliable, safe and effective in the management of women with intact hymen and with AUB, by avoiding trauma to the hymen and cervix, reducing monthly blood loss significantly and with a high satisfaction rate

Keywords: Hysteroscopy; Intact Hymen; Uterine Pathology; Abnormal Uterine Bleeding

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