Diagnostic hysteroscopy after D&C in women with perimenopausal bleeding

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.