77: Hysteroscopic Findings and Histopathologic Results in Women with Postmenopausal Bleeding

Abstract

To evaluate the endometrial cavity and its histopathologic results in women with postmenopausal bleeding. The following histopathology was found in 26 cases under study: normal endometrium 35.2%, polyps 22.3%, myoma 13.1%, myoma and polyp 11.4%, endometrial hyperplasia 14.8%, adenocarcinoma 2.2%. Abdominal hysterectomy was done in patients with hyperplasia and adenocarcinoma. Endometrial ablation and resection was done in other patients, with no bleeding until the days of follow-up. Amenorrhea was achieved in 88% of patients. Hysteroscopy in women with postmenopausal bleeding not only results in better understanding of intrauterine pathology, and its histology, it can also prevent from unnecessary hysterectomies in women desire to preserve their uterus.