Role of Endoscopy in the Management of Dysfunctional Uterine Bleeding (DUB)

Dysfunctional uterine bleeding (DUB) is defined as “abnormal and excessive endometrial bleeding without a structural pathology-in the absence of recognizable pelvic pathology, pregnancy, neoplasm, infection, general bleeding disorders or intra-uterine lesions”. Primary investigative modalities include a stepwise clinical and vaginal sonographic examination. Hysteroscopy is useful for detecting cervical and uterine polyps, intra-uterine foreign bodies, fibroids, localizing areas of hyperplasia or neoplasia and enable a directed biopsy under vision. Hysteroscopic examination is preferable in perimenopausal women for making an early diagnosis of endometrial hyperplasia or neoplasia. Endoscopy also plays a significant role in the management of DUB. Laparoscopy provides significant assistance in women undergoing hysterectomy for DUB. Overall, endoscopy can improve the quality of life of women with DUB.