A comparison of vacuum aspiration of the uterus and conventional curettage in the management of abnormal uterine bleeding.

Abstract

SummaryOutpatient vacuum aspiration of the uterus without anaesthesia was compared with conventional curettage in the diagnosis and treatment of abnormal uterine bleeding. Vacuum aspiration was more effective in producing material for histological examination but was less often practicable than conventional curettage, and was less effective in the investigation of postmenopausal and prolonged bleeding. The apparent therapeutic effectiveness of the two procedures in non‐malignant cases is about equal. The factors limiting the scope of each procedure are discussed.