Endometrial findings following curettage in 2018 women according to age and indications

A retrospective study on 2018 Scandinavian women undergoing conventional and aspiration curettage was performed. The outcome in terms of endometrial pathology was analyzed against age and indications. A large number of operations (38.2%) were performed on young women before the age of 45 years. 98% of endometrial samples were normal from 430 younger than 40 years. Better selection of cases might help to reduce the number of operations. In women of reproductive age the relation between normal and pathological findings was the same for both methods with the exception that conventional curettage seemed to detect more polyps. The frequency of insufficient samples after aspiration curettage increased markedly with age. Postmenopausal bleeding remains a strong indication for conventional curettage.