title: [Diagnostic hysteroscopy after D&C in women with perimenopausal bleeding].
abstract: OBJECTIVE
  Comparative estimation of D&C and hysteroscopy as a method of receiving material to histological estimation in perimenopausal women.
  
  
  METHODS
  In 74 women (age 46-70) during the last year before this study, D&C was performed. There were neither material nor pathologic changes in hystological estimation. Now we made hysteroscopy and again took the material to histological research.
  
  
  RESULTS
  29 endometrial polyps, 14 submucosus myomas, 2 endometrial hyperplasias and 2 endometrial cancers were detected.
  
  
  CONCLUSIONS
  1. Hysteroscopy with direct biopsy has superiority over curettage in detecting all types of intrauterine pathology, in particular focal changes. 2. Hysteroscopy should determine a method of choice for women with recurrent bleedings from the uterus, which pathological changes were not detected with curettage.
mesh_terms: D000328:Adult; D000368:Aged; D002979:Climacteric; D004107:Dilatation and Curettage; D004714:Endometrial Hyperplasia / Q000175:diagnosis; D016889:Endometrial Neoplasms / Q000175:diagnosis; D004717:Endometrium / Q000473:pathology; D005260:Female; D006801:Humans; D015907:Hysteroscopy / Q000379:methods / Q000592:standards; D008875:Middle Aged; D009092:Mucous Membrane / Q000473:pathology; D009214:Myoma / Q000175:diagnosis; D011127:Polyps / Q000175:diagnosis; D011230:Precancerous Conditions / Q000175:diagnosis; D014592:Uterine Hemorrhage / Q000473:pathology*
vernacular_title: Histeroskopia diagnostyczna po przebytym zabiegu wyłyzeczkowania macicy u kobiet z krwawieniami okresu okołomenopauzalnego.