[The use of hysteroscopy in the diagnostic on perimenopausal metrorrhagia. A study of 35 cases].
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.
Socolov
Demetra
D
Departamentul de Obstetrică Ginecologie, Facultatea de Medicină, Universitatea de Medicină si Farmacie "Gr. T. Popa", Iaşi.
Socolov
R V
RV
Buţureanu
S
S
Flaişer
Corina
C
Amalinei
Cornelia
C
Balan
Raluca
R
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*