title: [The use of hysteroscopy in the diagnostic on perimenopausal metrorrhagia. A study of 35 cases].
abstract: We have retrospectively evaluated the role of hysteroscopy for the diagnostic of the peri-menopausal metrorrhagia.
  
  
  METHODS
  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.
  
  
  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%.
  
  
  CONCLUSIONS
  Hysteroscopy is better than "blind" curettage in clarifying perimenopausal hemorrhagic endometrial pathology.
authors.affiliation: Departamentul de Obstetrică Ginecologie, Facultatea de Medicină, Universitatea de Medicină si Farmacie "Gr. T. Popa", Iaşi.
authors.forename: Demetra
authors.initials: D
authors.lastname: Socolov
authors.forename: R V
authors.initials: RV
authors.lastname: Socolov
authors.forename: S
authors.initials: S
authors.lastname: Buţureanu
authors.forename: Corina
authors.initials: C
authors.lastname: Flaişer
authors.forename: Cornelia
authors.initials: C
authors.lastname: Amalinei
authors.forename: Raluca
authors.initials: R
authors.lastname: Balan
mesh_terms: D000368:Aged; D004714:Endometrial Hyperplasia / Q000175:diagnosis; D016889:Endometrial Neoplasms / Q000175:diagnosis; D005260:Female; D006801:Humans; D015907:Hysteroscopy / Q000379:methods*; D008796:Metrorrhagia / Q000209:etiology*; D008875:Middle Aged; D047648:Perimenopause; D011127:Polyps / Q000175:diagnosis; D012189:Retrospective Studies; D012680:Sensitivity and Specificity; D014591:Uterine Diseases / Q000150:complications / Q000175:diagnosis*