Experience of office hysteroscopy for diagnostics of abnormal uterine bleeding causes in puberty girls

Objective: to prove the role of office hysteroscopy as an important additional method in diagnostics of puberty abnormal uterine bleeding (AUB). Material and methods. The study involved 68 patients with AUB. The average age was 13.4 years (10-17 years). The main complaint of patients concerned bleed...

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Main Authors: Bezhanishvili Е.М., Svinarev M.Yu.
Format: Article
Language:Russian
Published: Saratov State Medical University 2016-09-01
Series:Саратовский научно-медицинский журнал
Subjects:
Online Access:http://www.ssmj.ru/system/files/2016_03_339-343.pdf
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author Bezhanishvili Е.М.
Svinarev M.Yu.
author_facet Bezhanishvili Е.М.
Svinarev M.Yu.
author_sort Bezhanishvili Е.М.
collection DOAJ
description Objective: to prove the role of office hysteroscopy as an important additional method in diagnostics of puberty abnormal uterine bleeding (AUB). Material and methods. The study involved 68 patients with AUB. The average age was 13.4 years (10-17 years). The main complaint of patients concerned bleeding from genital tract during 10-45 days (on an average 28.4 days). Patients were divided into 3 groups according to the type of AUB determined based on the level of serum estradiol, physical and sexual development, internal genitalia ultrasound data: 35 hypo estrogenic girls, 24 girls with normal estrogenic and 9 girls with hyper estrogenic type of AUB. All of the girls took the office hysteroscopy. Results. When performing hysteroscopy it was revealed that there were a clear relationship between the degree of estrogenic saturation and visual picture obtained in the course of the study. Conclusion. Hysteroscopy enables maximum visualization of uterine cavity, which allows to verify the diagnosis, to reduce the "over diagnosis" rate of organic pathology, perform a differentiated approach to treatment of diseases, based on determination of estradiol level in serum and data obtained in the study.
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spelling doaj.art-57ac49b94c084e719b67312406de5f342022-12-21T20:00:40ZrusSaratov State Medical UniversityСаратовский научно-медицинский журнал2076-25182016-09-011233393434391Experience of office hysteroscopy for diagnostics of abnormal uterine bleeding causes in puberty girlsBezhanishvili Е.М.0Svinarev M.Yu.1Saratov Regional Child Clinical HospitalSaratov Regional Child Clinical HospitalObjective: to prove the role of office hysteroscopy as an important additional method in diagnostics of puberty abnormal uterine bleeding (AUB). Material and methods. The study involved 68 patients with AUB. The average age was 13.4 years (10-17 years). The main complaint of patients concerned bleeding from genital tract during 10-45 days (on an average 28.4 days). Patients were divided into 3 groups according to the type of AUB determined based on the level of serum estradiol, physical and sexual development, internal genitalia ultrasound data: 35 hypo estrogenic girls, 24 girls with normal estrogenic and 9 girls with hyper estrogenic type of AUB. All of the girls took the office hysteroscopy. Results. When performing hysteroscopy it was revealed that there were a clear relationship between the degree of estrogenic saturation and visual picture obtained in the course of the study. Conclusion. Hysteroscopy enables maximum visualization of uterine cavity, which allows to verify the diagnosis, to reduce the "over diagnosis" rate of organic pathology, perform a differentiated approach to treatment of diseases, based on determination of estradiol level in serum and data obtained in the study.http://www.ssmj.ru/system/files/2016_03_339-343.pdfestrogensoffice hysteroscopypuberty girlsuterine bleeding
spellingShingle Bezhanishvili Е.М.
Svinarev M.Yu.
Experience of office hysteroscopy for diagnostics of abnormal uterine bleeding causes in puberty girls
Саратовский научно-медицинский журнал
estrogens
office hysteroscopy
puberty girls
uterine bleeding
title Experience of office hysteroscopy for diagnostics of abnormal uterine bleeding causes in puberty girls
title_full Experience of office hysteroscopy for diagnostics of abnormal uterine bleeding causes in puberty girls
title_fullStr Experience of office hysteroscopy for diagnostics of abnormal uterine bleeding causes in puberty girls
title_full_unstemmed Experience of office hysteroscopy for diagnostics of abnormal uterine bleeding causes in puberty girls
title_short Experience of office hysteroscopy for diagnostics of abnormal uterine bleeding causes in puberty girls
title_sort experience of office hysteroscopy for diagnostics of abnormal uterine bleeding causes in puberty girls
topic estrogens
office hysteroscopy
puberty girls
uterine bleeding
url http://www.ssmj.ru/system/files/2016_03_339-343.pdf
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