Diagnosis of Intracavitary Uterine Diseases in Postmenopausal Women by Hysteroscopy

Abstract

Objective: To reveal the hysteroscopic findings among postmenopausal women who were subjected to diagnostic hysteroscopy method. Methods: This is a descriptive study which was conducted at King Hussein Medical Center within the period from January 2008 to Janunary 2010, on a total of 215 postmenopausal women. Mean age of the study group was 58 years (range 46-70). Hysteroscopy was carried out to detect intracavitary disease, either by hysteroscopic view or using histopathological biopsies for other diseases. Simple descriptive statistics (frequency, mean age and percentage) were used to describe the study variables. Results: The histopathological and hysteroscopic findings were as follows: polyps in 122 (56.7%) patients, atrophic endometrium in 44 (20.5%) patients, synechia in 22 (10.2%) patients, fibroid in 13 (4.6%) patients, endometrial hyperplasia in seven (3.3%) patients, focal thickening seven (3.3%) patients. Conclusions: The most frequent findings at hysteroscopy for postmenopausal women with bleeding were benign lesions. Hysteroscopy using biopsy is a selective method for detecting intracavitary uterine disease.