Socolov Demetra, Socolov R V, Buţureanu S, Flaişer Corina, Amalinei Cornelia, Balan Raluca
Departamentul de Obstetrică Ginecologie, Facultatea de Medicină, Universitatea de Medicină si Farmacie "Gr. T. Popa", Iaşi.
Rev Med Chir Soc Med Nat Iasi. 2005 Oct-Dec;109(4):813-6.
We have retrospectively evaluated the role of hysteroscopy for the diagnostic of the peri-menopausal metrorrhagia.
The cases included represented patients of more than 45 years, with persistent bleeding, from 2 gynecological hospitals (one public and one private), during one year, that were submitted to hysteroscopy for clarifying the diagnostic. The hysteroscopic endometrium descriptions were categorized as: atrophy, normal, simple or suspect hypertrophy, polyp, and adenocarcinoma, and they were compared to the pathological exam results.
The descriptions were distributed among the categories: atrophy (8 cases), simple hypertrophy (17), suspect hypertrophy (3), polypoid (5), endometrial cancer (2) or normal (4). The correlation to pathological results was good, with only 14% of hysteroscopic underestimation of lesions. The sensitivity according to type of pathology, was 50 to 100%, specificity between 84% - 100%.
Hysteroscopy is better than "blind" curettage in clarifying perimenopausal hemorrhagic endometrial pathology.
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