Document Detail


Hysteroscopy and transvaginal sonography in menopausal women receiving hormone replacement therapy.
MedLine Citation:
PMID:  9132309     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
STUDY OBJECTIVE: To evaluate the endometrial cavity of menopausal women with irregular bleeding while receiving hormone replacement therapy. DESIGN: Comparative evaluation of hysteroscopic and biopsy findings. SETTING: A center for reproductive studies. PATIENTS: Forty-one patients receiving different regimens of hormone replacement therapy. INTERVENTIONS: Hysteroscopy, endometrial biopsy, and transvaginal sonography were performed in all 41 women. In 10 patients, endometrial polyps were removed with the resectoscope. MEASUREMENTS AND MAIN RESULTS: Irregular bleeding during hormone replacement therapy was associated with atrophic endometrium whenever transvaginal sonography showed endometrial thickness to be less than 4 mm. In patients who developed increased endometrial thickness after hormone replacement therapy, hysteroscopy revealed the presence of endometrial polyps in the uterine cavity. Histopathologic examination of excised polyps revealed cystic or adenomatous hyperplasia confined to these lesions. CONCLUSIONS: Endometrial polyps can appear in menopausal women receiving hormone replacement therapy despite the presence of progestins to oppose the action of estrogens.
Authors:
H Maia; I C Barbosa; D Marques; L C Calmon; O A Ladipo; E M Coutinho
Related Documents :
18241819 - Postoperative oral contraceptive exposure and risk of endometrioma recurrence.
7418289 - Medical versus surgical treatment of endometriosis.
3532799 - Regression of uterine leiomyomas after treatment with gestrinone, an antiestrogen, anti...
19455349 - Reproductive outcome following hysteroscopic adhesiolysis in patients with infertility ...
14688179 - The evaluation of the effectiveness of an intrauterine-administered progestogen (levono...
17227809 - Effect of oral administration of dydrogestrone versus vaginal administration of natural...
15986749 - Posttraumatic syringomyelia--a serious complication in tetra- and paraplegic patients.
22411569 - One thousand consecutive mini-gastric bypass: short- and long-term outcome.
23947919 - Eosinophilic esophagitis in children with eosophageal atresia.
Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  The Journal of the American Association of Gynecologic Laparoscopists     Volume:  4     ISSN:  1074-3804     ISO Abbreviation:  J Am Assoc Gynecol Laparosc     Publication Date:  1996 Nov 
Date Detail:
Created Date:  1997-04-30     Completed Date:  1997-04-30     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  9417443     Medline TA:  J Am Assoc Gynecol Laparosc     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  13-8     Citation Subset:  IM    
Affiliation:
Centro de Pesquisas e Assistencia em Reproducao Humana, Salvador, Bahia, Brazil.
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms
Descriptor/Qualifier:
Atrophy
Biopsy
Endometrial Neoplasms / diagnosis,  surgery,  ultrasonography
Endometrium / drug effects,  pathology,  ultrasonography*
Estrogen Replacement Therapy* / adverse effects
Female
Humans
Hysteroscopy*
Menopause*
Middle Aged
Polyps / diagnosis,  surgery,  ultrasonography
Uterine Hemorrhage / chemically induced,  diagnosis,  ultrasonography

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


Previous Document:  A ryanodine-sensitive calcium store in ascidian eggs monitored by whole-cell patch-clamp recordings.
Next Document:  A case of Sjögren's syndrome associated with Sweet's syndrome.