BACKGROUND Office hysteroscopy with endometrial biopsy is usually the first investigation for abnormal uterine bleeding and other uterine diseases. AIMS To evaluate the effect of oral drotaverine with mefenamic acid on pain perception during hysteroscopy and endometrial biopsy and to compare it with that of paracervical block using 1% lignocaine and with that of intravenous sedation using dia...

PURPOSE To investigate the effect of switching from adjuvant tamoxifen to anastrozole (Arimidex) treatment in postmenopausal women with endocrine-responsive breast cancer and histologically proven tamoxifen-induced benign endometrial pathology. EXPERIMENTAL DESIGN Two hundred twenty-six postmenopausal women who had received adjuvant tamoxifen 20 mg/d (> or =12 months, < or =48 months) and dev...

We read with interest the paper by Check and colleagues (Check et al., 2002). In their study, the authors focus on the highly interesting question of the possible influence of intramural myoma on the outcome of IVF. We think it is appropriate to discuss two points critically, which should be considered in the nomenclature and diagnosis of intramural myoma in future multicentre studies. Myoma co...

Background/Aims: Endometrial thickening is a nonspecific finding in women with premenopausal bleeding. Though it is expected in the luteal phase of ovulatory cycle or with anovulatory bleeding, it can be due to hyperplasia, polyps, leiomyomas, or endometrial carcinoma. Three-dimensional ultrasonography is an imaging technique that allows unique ways of assessing uterine and adnexeal pathology. ...

Background: Endometrial hyperplasia (EH) is considered a heterogeneous pre-neoplastic clinical entity characterized by an abnormal glandular proliferation, with less than half of the tissue area occupied stroma. The aim this retrospective study was to evaluate correlation between histological diagnosis atypical endometrial (AEH) obtained through office hysteroscopy (OH) or uterine dilation and ...

STUDY QUESTION Does the use of diagnostic criteria in the hysteroscopic diagnosis of a septate uterus improve inter-observer agreement? SUMMARY ANSWER Pre-set diagnostic criteria slightly improve the inter-observer reproducibility of hysteroscopy in diagnosing a uterine septum, although agreement remains moderate. WHAT IS KNOWN ALREADY The inter-observer agreement on the hysteroscopic diagn...

background: cervical pregnancy is rare and dangerous form of ectopic pregnancy which can be treated surgically or conservatively. methotrexate is reasonable conservative option with high efficiency and acceptable level of side effects. aim of this paper is to present possible treatment option in case of methotrexate failure, still keeping the postulates of minimal invasive surgery. case:  we de...

The presence of a thin endometrium has an important role in allowing the best conditions for hysteroscopic surgery. Here, we explored the efficacy of a 14-day administration of nomegestrol acetate, a progestogen with high progestogen potency effects, in rapid endometrial preparation to operative hysteroscopy. A total of 86 fertile women selected for operative hysteroscopy received for 14 days e...

background with the advent of hystroscopic surgery, abnormalities confined to the uterine cavity such as endometrial polyps, submucous myomas, uterine septae and synechia , were supposed to be treated effectively. diagnostic hysteroscopy is the gold standard for investigating the intrauterine diseases as it allows for biopsy and removal of lesions. objectives forty premenopausal women without t...

Intrauterine pathologies have been shown to be present in 25% of infertile patients.Structural abnormalities of the uterine endometrial cavity may affect the reproductive outcome adversely, by interfering with the implantation or causing spontaneous abortion. Intrauterine abnormalities may visualize using a variety of techniques. Including hysterosalpingography (HSG), transvaginal sonography (T...