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Middle East Fertility Society Journal
Middle East Fertility Society
ISSN: 1110-5690
Vol. 10, No. 1, 2005, pp. 43-48
Bioline Code: mf05008
Full paper language: English
Document type: Research Article
Document available free of charge

Middle East Fertility Society Journal, Vol. 10, No. 1, 2005, pp. 43-48

 en Out-patient hysteroscopy: findings and decision making for treatment of abnormal uterine bleeding in pre- and post-menopausal women
Ashraf M. N. Refaie, Trevor Anderson, Sow S. Cheah


Objective: To assess the feasibility of outpatient hysteroscopy for identifying abnormal findings in uterine cavities of pre- and postmenopausal women presented with abnormal uterine bleeding (AUB) and how can out-patient hysteroscopy affect the decision making for treatment.
Setting: Erne Hospital, Enniskillen, UK.
Materials and Methods: One hundred and twelve pre- and postmenopausal women presented with AUB. All patients had hysteroscopy as an out-patient procedure. Pipelle suction was used to obtain endometrium for histopathology. Ultrasonography was performed before the patient being seen in the out-patient hysteroscopy clinic.
Results: About half of the women in this study were shown to have normal uterine cavities. The most common abnormal hysteroscopic findings were the endometrial polyps (15.1%) and the submucous fibroids (11.3%). Other findings such as atrophy, hyperplasia and cancer were identified in 8.5%, 8.5% and 1.9% respectively. Sixty nine women (61.6%) with normal and atrophic endometrium went on medical treatment. Polypectomy, removal or insertion of intrauterine uterine contraceptive devices (IUCD) were performed in 14.3%, 3.6% and 4.5% respectively. Thermachoice ablation was performed in 8 patients (7.1%). Major surgical intervention in the form of abdominal hysterectomy was decided in 9% of cases.
Conclusions: Out-patient hysteroscopy is a feasible technique in identifying abnormal uterine findings in cases of AUB in pre- and post menopausal women. Based on hysteroscopic findings, accurate diagnosis of the cause of AUB can be made and subsequently the appropriate decision regarding different treatment options can be chosen.

Hysteroscopy, ultrasonography, abnormal uterine bleeding.

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