Office Hysteroscopy After Ultrasonographic Diagnosis of Thickened Endometrium in Postmenopausal Patients

Abstract

The aim of our study was to access office hysteroscopy results in postmenopausal patients with thickened endometrium. A retrospective descriptive study was carried out on 245 postmenopausal patients submitted to office hysteroscopy after sonographic diagnosis of thickened endometrium in 20 consecutive months. Women were evaluated for age, hormonal therapy, hysteroscopic findings, procedure duration, complications and associated pain, and histological diagnosis. Patients with and without uterine bleeding were considered separately. Symptomatic patients were older and had longer procedure duration. The most frequent hysteroscopic finding was endometrial polyp in both groups. Pain was subjectively assessed in a numeric scale from 0 to 10 and median value was 4. There were no complications reported. Global neoplasia rate was 2.9% for asymptomatic patients and 16.4% for symptomatic ones (p<0.05). Thickened endometrium with postmenopausal metrorrhagia gave patients a significantly higher risk for neoplasia and hyperplasia.

Reliability of out-patient hysteroscopy in one-stop clinic for abnormal uterine bleeding

“…Nevertheless, in this study, we did not use any pre or intraprocedure analgesia or anesthesia as most studies suggests that OH in experienced hands is a well-tolerated technique and requires the use of analgesics only in selected patients [9]. Office hysteroscopy was well tolerated by our patients with mean pain score of 3.25±0.8 which is comparable to previous studies with a range of 3-4.8 with variable caliber of the hysteroscopes used [10][11][12][13][14]. The procedure also has high patient acceptance with 85% of patients had easy or faire acceptance and in the other 15% it was accepted with some difficulty.…”

The role of hysteroscopy in diagnosis and treatment of postmenopausal bleeding

“…The majority of other studies also state the highest incidence of endometrial polyp as the abnormal hysteroscopic finding but with a slightly higher percentage (32.5% Dibi et al 14 , 37.6% Cordeiro et al 15 ). The majority of other studies also state the highest incidence of endometrial polyp as the abnormal hysteroscopic finding but with a slightly higher percentage (32.5% Dibi et al 14 , 37.6% Cordeiro et al 15 ).…”

The role of diagnostic hysteroscopy in abnormal uterine bleeding and its histopathological correlation following blind dilatation and curettage

“…The majority of other studies also state the highest incidence of endometrial polyp (32.5% Raquel et al, 37.6% Cordeiro et al). 13,14 The type of abnormal hysteroscopic findings vary according to the age group and presentation. In our series of patients, endometrial polyp and hyperplasia were the predominant findings with symptoms of menorrhagia and metrorrhagia (18%).…”