[Hysteroscopy as a method of evaluation of endometrial pathology during climacteric ]

The Authors analyse 207 hysteroscopies performed in the outpatient clinic in women during menopause, without the use of dilatation or local anesthetic. The test was completed in 175 patients (84.6%). Tolerability was acceptable in 95% of cases. The main indication (80%) was atypical secretions during menopause or changes in the menstrual cycle. Hyperplastic lesions were confirmed in 12% of the tests carried out. An endometrial K was diagnosed in 5 cases (2.9%). The method showed a good level of specificity of diagnosis but it not always sufficiently sensitive. It is therefore necessary to complete the test by taking a selected histological sample using Novak's cannula.