Saratov JOURNAL of Medical and Scientific Research

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

Year: 2016, volume 12 Issue: №3 Pages: 339-343
Heading: Obstetrics and Gynecology Article type: Original article
Authors: Bezhanishvili Е.М., Svinarev M.Yu.
Organization: Saratov Regional Child Clinical Hospital
Summary:

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.

Bibliography:
1. Uvarova E.V. Child and adolescent gynecology. Moscow: Geotar, 2009; 271 p.
2. Debol'skaya A.l., Veselova N.M. Some controversial issues of classification, etiology and pathogenesis of uterine bleeding puberty. Reproduktivnoe Zdorovye Detey i Podrostkov 2006; (1): 28-32
3. Bulganina O.V., Grigorieva Е.Е. Determination of the main causes of menstrual disorders of hypothalamic origin in puberty. Reproduktivnoe Zdorovye Detey i Podrostkov 2012; (2): 21-27
4. Pasman N.M., Snisarenko Е.А., Teplitskaya A.L., et al. The therapeutic effect of low-dose oral contraceptives with uterine bleeding in adolescence. Medical journal of the Russian Federation 2006; (1): 38
5. Uvarova E.V. Standard principles of examination and treatment of children and adolescents with gynecological diseases and disorders of sexual development. Moscow: Geotar, 2009; 99-103 p.
6. Savelieva G.M., Breusenko V.G., Kappusheva L.M. Hysteroscopy: Atlas and Guide. Moscow: Meditcina, 2013; 43-138 p.
7. Veselova N.M. Evaluating the effectiveness of various methods of regulating therapy in adolescents with uterine bleeding puberty. In: Proceedings of the First International Congress on Reproductive Medicine. Moscow, 2006; 38-39 p.
8. Uvarova E.V., Veselova N.M., Belokon I.P., Salnikova I.A. Objective and adequate hormonal treatment of girls with uterine bleeding in adolescence. Reproduktivnoe Zdorovye Detey i Podrostkov 2008; (5): 53-65
9. Salnikova I.A., Uvarova E.V. Features of progesterone for the purpose of the regulation of the menstrual cycle after stopping uterine bleeding in adolescence. Reproduktivnoe Zdorovye Detey i Podrostkov 2012; (2): 42-51
10. Maltsev L.I., Yupatov E.Y. Office hysteroscopy is a new technology in ambulatory practice obstetrician-gynecologist. Practical Medicine 2012; (60): 44-48
11. Carta G., Palermo Р., Marinangeli F., Piroli A., et al. Waiting time and pain during office hysteroscopy. Minim Invasive Gynecol 2012; 19 (3): 360-364
12. Guida M., Di SpiezioSardo A., Acunzo G., et al. Vaginoscopic versus traditional office hysteroscopy: a randomized controlled study. Hum Reprod 2006; 21: 3253-3257
13. Sagiv R., Sadan O., Boaz M. A new approach to office hysteroscopy compared with traditional hysteroscopy: a randomized controlled trial. Obstet Gynecol 2006; 108: 387-392.

AttachmentSize
2016_03_339-343.pdf329.74 KB

No votes yet