Department of Obstetrics, Gynecology, Urology Sciences and Reproductive Medicine, University of Naples Federico II, Naples, Italy.
Unit of Gynecology and Obstetrics, Department of Women and Children's Health, University of Padua, Padua, Italy.
Climacteric. 2020 Aug;23(4):360-368. doi: 10.1080/13697137.2020.1754387. Epub 2020 May 12.
With the increase in life expectancy, women now live up to one-third of their life in menopause. Postmenopausal bleeding (PMB) is a common gynecologic complaint encountered by the clinician. Endometrial cancer is present in about 10% of patients with PMB. Nevertheless, many other conditions such as endometrial or cervical polyps, genital atrophy, or non-gynecologic conditions may also be present. Hysteroscopy has replaced blind diagnostic procedures and is now considered the gold-standard technique for the diagnosis and management of intrauterine pathology. Gynecologists in clinical practice should be familiar with the use of hysteroscopy in the diagnosis and treatment of the menopausal patient presenting with gynecologic complaints. The aim of this article is to report the current evidence on the role of hysteroscopy in the evaluation and management of the postmenopausal patient with intrauterine pathology.
随着预期寿命的延长，女性现在在绝经后要度过三分之一的生命。绝经后出血（PMB）是临床医生经常遇到的一种常见妇科主诉。约 10%的 PMB 患者存在子宫内膜癌。然而，许多其他情况，如子宫内膜或宫颈息肉、生殖器萎缩或非妇科疾病也可能存在。宫腔镜已取代了盲目诊断程序，现在被认为是诊断和治疗宫内病理的金标准技术。临床医生应熟悉宫腔镜在诊断和治疗出现妇科主诉的绝经患者中的应用。本文的目的是报告目前关于宫腔镜在评估和治疗有宫内病理的绝经后患者中的作用的证据。
