Hysteroscopic findings in postmenopausal patients with a thick endometriumafter using implants of oestradiol and testosterone

Objective To evaluate the endometrial cavity of postmenopausal patients who developed a persistent increase in endometrial thickness, detected by tran svaginal sonography, after using implants of oestradiol and testosterone. Design This is a retrospective study. Results 23 patients with an endometrial echo > 5 mm were evaluated by hyste roscopy. Of these, 18 patients had an endometrial polyp, two had proliferat ive endometrium and in the remaining three the uterine cavity was atrophic. There were three cases of complex hyperplasia within the polyp, two withou t atypia and one with moderate nuclear atypia. There was one case of endome trial carcinoma developing in a polypoid lesion. Conclusion Endometrial polyps were the most frequent pathological finding d etected in the uterine cavity of menopausal patients who had developed an i ncrease in endometrial thickness after using implants of oestradiol and tes tosterone. There was one case of endometrial carcinoma in a polyp.