[Examination of uterine hemorrhagic disorders using fractionated abrasion]

The aim of the study was to describe the use of uterine curettage in the diagnosis of vaginal bleeding disorders. 301 pathological specimens were identified where uterine curettage was performed because of vaginal bleeding disorders. These specimens represented 23% of all recorded examinations in the files of Department of Pathology in 1987. Based on the above data the overall yearly rate of uterine curettage was estimated to be 8.7 per 1,000 women aged 20 years and over. The highest age-specific rate was found among women under 50 years of age. Most examinations (222), were carried out on tissue from women younger than 50. In only one of them (= 0.5%) was the diagnosis endometrial carcinoma. Most cases of carcinoma were found in women older than 50 years, with a total of seven out of 79 examinations. Questions should be raised about the routine use of uterine curettage, especially among women under 45 years of age.