Evaluation of Accuracy of Saline Infusion Sonohysterography with Endometrial Pathology in Patients with Postmenopausal Bleeding

Introduction: If a woman is having no menstruation for a period of consecutive 12 months in the perimenopausal age, then she is considered to be in menopause. Postmenopausal bleeding occurs in a woman after she has undergone menopause. Postmenopausal bleeding can be caused by a variety of abnormalities of uterus, so it should be evaluated and treated. Test available to diagnose cause of PMB include Dilatation and Curettage, endometrial biopsy, hysteroscopy, trans vaginal ultrasound, saline infusion sonography etc. Aims and Objectives: To evaluate the accuracy of Saline infusion sonography and Transvaginal sonography in patients with Postmenopausal bleeding. To study the difference in accuracy of Saline infusion sonography and Transvaginal sonography in patients with Postmenopausal bleeding.Methodology: Study Design: Prospective study. Study population: The study is to be conducted at the obstetrics and gynaecology department in Jubilee Mission Medical College, Thrissur. Results & Conclusion: Saline infusion sonography showed better prediction of endometrial hyperplasia and submucosal fibroid. Sensitivity and specificity were higher in SIS when compared to TVS’s predictions in identifying polyp. However, specificity and positive predictive values were slightly higher in TVS group. The sensitivity of both tests was similar for identifying intramural fibroid; however, rest of the test predictions were higher in SIS when compared to TVS’s predictions in identifying intramural fibroid. The test predictions were similar in SIS and TVS’s predictions in identifying carcinoma endometrium.