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An interventional clinical trial to compare pipelle endometrial sampling versus hysteroscopic guided endometrial biopsy in patient with abnormal uterine bleeding .

Phase 4
Conditions
Health Condition 1: N939- Abnormal uterine and vaginal bleeding, unspecifiedHealth Condition 2: N924- Excessive bleeding in the premenopausal periodHealth Condition 3: N926- Irregular menstruation, unspecifiedHealth Condition 4: N950- Postmenopausal bleeding
Registration Number
CTRI/2024/07/070832
Lead Sponsor
I
Brief Summary

Not available

Detailed Description

Not available

Recruitment & Eligibility

Status
ot Yet Recruiting
Sex
Not specified
Target Recruitment
0
Inclusion Criteria

1.Women with more than 40 years of age with symptoms suggestive of abnormal uterine bleeding .

2.In pre-menopausal women with endometrial thickness with 7 to 12 millimeters.

3.In post-menopausal women with endometrial thickness with more than 4 millimeters.

4. In post-menopausal women with endometrial thickness less than 4 millimeters endometrial sampling will be done if -

a. If repeated bleeding after primary treatment.

b. If endometrium shows diffuse /focal increase in echogenicity.

c. If endometrium is not adequately visualized on sonography.

Exclusion Criteria

1. Patient on contraceptives, anticoagulants , thrombolytics or any evidence of blood dyscrasia or coagulation defects, autoimmune illness or chronic illness.

2. Patient with thrombocytopenia ( less than 100000 platelet/mm3 ).

3.Patient with active genital infection .

4.Patient with focal lesions of cervix or endometrium .

Study & Design

Study Type
Interventional
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
To compare the diagnostic accuracy of pipelle endometrial sampling versus hysteroscopic guided endometrial biopsy in patient with abnormal uterine bleeding with endometrial pathology which is based on - <br/ ><br> <br/ ><br>1. Histopathological report obtained by the two sampling techniquesTimepoint: It will be analysed based on the histopathological report obtained by the two screening techniques which will be available in 1 week
Secondary Outcome Measures
NameTimeMethod
To compare the pipelle endometrial sampling versus hysteroscopic guided endometrial biopsy as two screening modalities in terms of <br/ ><br> <br/ ><br>1.Comparing the associated complications in both the techniques . <br/ ><br>2. Comparing the patient compliance in both the procedure. <br/ ><br>3. comparing the time duration & post procedure complications.Timepoint: It will be analysed by the subjective experience of the patient regarding the compliance & post procedure complications including anesthesia related & procedural during the immediate post operative period & subsequent follow up at 1 week with histopathological report
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