Role of Hysteroscopy (HSY) in the Management of Abnormal Uterine Bleeding (AUB) in women with an Intact Hymen

Abstract

vaginoscopy or ‘no-touch’ approach, in which hysteroscopy Abstract Background & Objectives: Virginity, is considered as a sign of sexual purity in many societies, and damage to the hymen carries with its serious social implications for patients. Based on these issues & because of (HSY) being the only technique that provides direct visualization of uterine cavity, our aim of this study was to assess its role in diagnosis & treatment of uterine pathology causing (AUB) in 17 unmarried patients with an intact hymen. Materials & Methods: Medical records of these patients for whom HSY were performed during a period of one year, at AL-Amal hospital, were studied retrospectively. All underwent diagnostic HSY & operative (when necessary). Outcomes: treatment success (neither hymen nor cervix were injured), menstrual flow reduction, need of second operation, patient satisfaction & complications. Treatment was considered as a failure if hymen or cervix was injured or with repeated attacks of AUB. Results: All went smoothly, neither hymen nor cervix were injured, no uterine perforations were encountered. Mean follow-up period was 3 months. All patients but one (treatment failure, with repeated attacks of AUB) were satisfied and showed menstrual improvement. Conclusions: monthly high satisfaction