IMPROVING THE DIAGNOSTIC ACCURACY OF HYSTEROSCOPY IN ABNORMAL UTERINE BLEEDING
Keywords:
abnormal uterine bleeding, hysteroscopy, endometrial hyperplasia, endometrial polyp, diagnostic accuracy.Abstract
Abnormal uterine bleeding (AUB) is one of the most common reasons for women of reproductive age to consult an obstetrician-gynecologist. According to the clinical guidelines of the Russian Federation, the diagnosis of AUB is carried out based on the PALM-COEIN classification and includes a clinical examination, ultrasound assessment, and morphological verification of the endometrium. Hysteroscopy is considered the "gold standard" for detecting intrauterine pathology; however, its diagnostic accuracy depends on the standardization of the examination protocol and mandatory morphological verification.
References
1. Clinical recommendations. Habitual miscarriage. Ministry of Health of the RF, 2023.
2. Clinical recommendations. Sterility. Ministry of Health of the RF, 2022.
3. Cicinelli E., et al. Chronic endometritis: a frequent cause of infertility. Fertility and Sterility. 2015;103 (6):1548–1554.
4. Kitaya K. et al. Chronic endometritis and reproductive failure. Reproductive Medicine and Biology. 2018;17 (3):229–241.
5. McQueen D. et al. Hysteroscopic findings in chronic endometritis. Journal of Minimally Invasive Gynecology. 2014;21 (3): 394–399.
6. Bouet P.E. et al. Chronic endometritis in women with recurrent pregnancy loss. Fertility and Sterility. 2016;105 (1):129–136.
