Hidrómetra y otras colecciones líquidas en la menopausia: Hallazgos histeroscópicos

Translated title of the contribution: Hydrometra and other fluid collections in menopause: Hysteroscopic findings

Christian Sanchez, María A. Brito, Jose Carugno, Adriana Fleitas, Blanca Silva

Research output: Contribution to journalArticle

Abstract

Objective: To describe the hysteroscopic findings in postmenopausal patients with ultrasonographic diagnoses of fluid in the endometrial cavity and its anatomopathological correlation. Methods: Descriptive and prospective analysis of a series of 47 postmenopausal patients who were evaluated in the Gynecological Endoscopy Unit of the University Hospital of Caracas by hysteroscopy, with the previous ultrasonographic finding of the uterine cavity with the presence of fluid, between January 2012 and December 2013. Results: The average age of the studied population was 58.3 ± 11.2 years. The average age of menopause was 51.2 ± 3.7 years. The majority of the patients were asymptomatic (87.23%). Regarding comorbidities, 40.42% were hypertensive and 21.27% had diabetes; 68.08% were smokers. The most frequent hysteroscopic finding was atrophic endometrium (78.72%) followed by an endometrial polyp (12.76%). The fluid collection was hydrometer (mucus or serous fluid) in 95.72% of the cases. The measurement of the endometrial line was 4 mm or less in 78.72% of the patients, and 9 mm or more in 6.3% of the patients. The patients with an endometrial thickness ≤ 4 mm had atrophic endometrium, without identified endometrial pathology. Conclusion: In asymptomatic postmenopausal patients with incidental ultrasound finding of fluid filled endometrium and an endometrial thickness less than 4 mm it is unlikely to find endometrial pathology on hysteroscopy.

Original languageSpanish
Pages (from-to)157-164
Number of pages8
JournalRevista de Obstetricia y Ginecologia de Venezuela
Volume77
Issue number3
StatePublished - Sep 1 2017
Externally publishedYes

Fingerprint

Menopause
Endometrium
Hysteroscopy
Pathology
Incidental Findings
Mucus
Polyps
Endoscopy
Comorbidity
Population

Keywords

  • Endometrial stripe
  • Hydrometra
  • Hysteroscopy
  • Post menopause

ASJC Scopus subject areas

  • Obstetrics and Gynecology

Cite this

Hidrómetra y otras colecciones líquidas en la menopausia : Hallazgos histeroscópicos. / Sanchez, Christian; Brito, María A.; Carugno, Jose; Fleitas, Adriana; Silva, Blanca.

In: Revista de Obstetricia y Ginecologia de Venezuela, Vol. 77, No. 3, 01.09.2017, p. 157-164.

Research output: Contribution to journalArticle

Sanchez, Christian ; Brito, María A. ; Carugno, Jose ; Fleitas, Adriana ; Silva, Blanca. / Hidrómetra y otras colecciones líquidas en la menopausia : Hallazgos histeroscópicos. In: Revista de Obstetricia y Ginecologia de Venezuela. 2017 ; Vol. 77, No. 3. pp. 157-164.
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abstract = "Objective: To describe the hysteroscopic findings in postmenopausal patients with ultrasonographic diagnoses of fluid in the endometrial cavity and its anatomopathological correlation. Methods: Descriptive and prospective analysis of a series of 47 postmenopausal patients who were evaluated in the Gynecological Endoscopy Unit of the University Hospital of Caracas by hysteroscopy, with the previous ultrasonographic finding of the uterine cavity with the presence of fluid, between January 2012 and December 2013. Results: The average age of the studied population was 58.3 ± 11.2 years. The average age of menopause was 51.2 ± 3.7 years. The majority of the patients were asymptomatic (87.23{\%}). Regarding comorbidities, 40.42{\%} were hypertensive and 21.27{\%} had diabetes; 68.08{\%} were smokers. The most frequent hysteroscopic finding was atrophic endometrium (78.72{\%}) followed by an endometrial polyp (12.76{\%}). The fluid collection was hydrometer (mucus or serous fluid) in 95.72{\%} of the cases. The measurement of the endometrial line was 4 mm or less in 78.72{\%} of the patients, and 9 mm or more in 6.3{\%} of the patients. The patients with an endometrial thickness ≤ 4 mm had atrophic endometrium, without identified endometrial pathology. Conclusion: In asymptomatic postmenopausal patients with incidental ultrasound finding of fluid filled endometrium and an endometrial thickness less than 4 mm it is unlikely to find endometrial pathology on hysteroscopy.",
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