Endometrial Resection: A Diagnostic Tool In Postmenopausal Women

Objective To determine the diagnostic role of hysteroscopic endometrial resection in symptomatic postmenopausal women.Design Retrospective study.Setting Gynaecology department at a general hospital.Patients 150 postmenopausal women with abnormal uterine bleeding.Interventions Hysteroscopic transcervical resection of endometrium under general or spinal anaesthesia.Results Eight endometrial carcinomas were detected in endometrial chips and were managed with simple hysterectomy. A benign organic cause was noted in 131 cases, and 11 women had atrophic endometrium. All 142 postmenopausal women with a benign lesion were satisfied with their treatment and had no recurrence of abnormal bleeding during a mean follow up of 28 months.Conclusion Endometrial transcervical resection is a reasonable clinical strategy for single-procedure evaluation and treatment in postmenopausal women with abnormal uterine bleeding.