A STUDY OF THE POTENCY OF PIPELLE BIOPSY TECHNIQUE TO DETECT ENDOMETRIAL DISEASE IN PERIMENOPAUSAL / POSTMENOPAUSAL WOMEN

  • Nabila Amin Pak Emirates Military Hospital/National University of Medical Sciences (NUMS) Rawalpindi Pakistan
  • Tehreem Yazdani *Combined Military Hospital Okraa/National University of Medical Sciences (NUMS) Pakistan
  • Farhat Kareem Combined Military Hospital/National University of Medical Sciences (NUMS) Rawalpindi Pakistan
Keywords: Abnormal uterine bleeding, Dilatation and curettage, Menopause, Pipelle biopsy

Abstract

Objective: To see the efficacy of the gynecological procedure of outdoor endometrial biopsy using pipelle biopsy.

Study Design: Prospective observational study.

Place and Duration of Study: Sampling was done at obstetrics and gynecology department Pak-Emirates Military Hospital Rawalpindi, from Jan 2018 to Aug 2018.

Methodology: A 100 cases of perimenopausal/postmenopausal women presenting with menorrhagia/menorrhagia after the age of 40 years were selected for the study. Pipelle biopsy was employed in all the cases.

Results: The patients presenting with metorrhagia, menorrhagia, polymennorrhagia and postmenopausal bleeding with mean age of 46 ± 3.26 were included in the study. Sixty eight (68%) patients had metorrhagia, 10 (10%) presented with menorrhagia, 10 (10%) patients had polymennorrhagia while 12 (12%) patients had postmenopausal bleeding. Histopathological results showed that 5 (5%) patients were suffering from chronic endometriosis, 20 (20%) had hormonal imbalances, 45 (45%) had proliferative endometrium, 18 (18%) had endo-metrial benign hyperplasia.

Conclusion: It is concluded that outdoor endometrial conventional biopsy using pipelle biopsyis cost-effective and convenient method for diagnosing endometrial diseases. The procedure while providing reliable histopathological results in all cases is cheap and causes minimal discomfort to patients.

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Published
2020-10-31
How to Cite
Amin, N., Yazdani, T., & Kareem, F. (2020). A STUDY OF THE POTENCY OF PIPELLE BIOPSY TECHNIQUE TO DETECT ENDOMETRIAL DISEASE IN PERIMENOPAUSAL / POSTMENOPAUSAL WOMEN. Pakistan Armed Forces Medical Journal, 70(5), 1549-52. Retrieved from https://pafmj.org/index.php/PAFMJ/article/view/5603
Section
Original Articles