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J Am Assoc Gynecol Laparosc. 2000 May;7(2):197-200.

Hysteroscopic evaluation of menopausal patients with sonographically atrophic endometrium.

Author information

  • 1II Clinica Ostetrica e Ginecologica Policlinico, Piazza Giulio Cesare 11, 70125 Bari, Italy.

Abstract

STUDY OBJECTIVE:

To assess the diagnostic and operative potential of hysteroscopy in postmenopausal patients selected by ultrasound criteria.

DESIGN:

Prospective evaluation (Canadian Task Force classification II-2).

SETTING:

Outpatient ultrasound and hysteroscopy department of a university-affiliated hospital.

PATIENTS:

Two hundred twelve women with an endometrial thickness less than 4 mm on ultrasound and in menopause for at least 1 year.

INTERVENTIONS:

Transvaginal ultrasound and office hysteroscopy, with eye-directed biopsy specimens obtained with a 5-mm, continuous-flow operative hysteroscope, and performed without anesthesia.

MEASUREMENTS AND MAIN RESULTS:

Only 13 (6%) patients were symptomatic (irregular bleeding). Hysteroscopic diagnosis of endometrial polyps in three women (23%) was confirmed by histology. In the remaining 199 (94%) asymptomatic patients with atrophic endometrium on ultrasound, hysteroscopy showed an endometrial pathology in 10% (16 polyps, 4 submucous myomas); in one patient histologic evaluation disclosed focal adenocarcinoma in an endometrial polyp.

CONCLUSION:

Hysteroscopy allows a proper histologic diagnosis, even in asymptomatic postmenopausal women with atrophic endometrium on ultrasound.

PMID:
10806262
[PubMed - indexed for MEDLINE]
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