Role of hysteroscopy in evaluating chronic dysmenorrhea

Abstract EN

Objective : To evaluate the role of hysteroscopy as adjuvant tool in evaluating chronic dysmenorrhea.

Settings : Al-Zahraa University Hospital, Faculty of Medicine (Girls)-Al Azhar University from April 2011 till April 2012.

Methods : A prospective randomized study included 60 patients with dysmenorrhea for 6 months or more not responding to routine analgesics and need further management.

After consent hysteroscopies were performed under paracervical block using a 4 mm hysteroscope.

Excluded from study, non gynecological causes of pain, and those with acute pelvic infection.

Results : Endometritis was detected in 8 patients, intrauterine polyps in 3 patients, mullerian anomalies in 3 patients, submucous fibroid in 3 patients, cervical polyp in 2 patients and cervical stenosis & synechia in 4 patients.

Conclusion : this study concluded that hysteroscopy may be an adjuvant tool for diagnosis of some cases of chronic dysmenorrhea.

It can decrease the rate of un-needed laparoscopy.