Latest Update in Office Hysteroscopy

Hysteroscopy is a highly technologic procedure and, thanks to improve- ments in both the technology and the technique, has become a simple and painless procedure that can easily be performed in an office setting without any particular discomfort for the patient. Thanks to these improvements hysteroscopy has taken the place of D&C in the diagnostic gynaecological practice. Hysteroscopy allows today to per- form, during the procedure, targeted endometrial biopsies that ensure a final diagnostic power more reliable than other blind procedures. Assuming that office hysteroscopy could offer a better visualization of the uterine cavity without increasing patient discomfort, it has been proposed recently as a first- line procedure in the approach to the menopausal patient together with pelvic transvaginal ultrasound. This could be defined as a change in strategy that has yielded very interesting results in terms of a better understanding of the ap- pearance of the uterine cavity and the clinical value of small intra-cavitary pathologies (and their related treatment), particularly in asymptomatic women.