Postmenopausal Uterine Bleeding

A recently published meta-analysis “The accuracy of endometrial sampling in women with postmenopausal bleeding: a systematic review and meta-analysis” concludes that “In women with postmenopausal bleeding, the sensitivity of endometrial sampling to detect endometrial cancer and especially atypical hyperplasia and endometrial disease, including endometrial polyps, is lower than previously thought”. How do you manage postmenopausal bleeding? Do you yhink that Hysteroscopy has to be the first option after the US? Is there still a place for a “Blind” Biopsy?

Conumdrums at Hysteroscopy Newsletter


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