A new hysteroscopic classification of and nomenclature for endometrial lesions.

STUDY

OBJECTIVE

To establish a hysteroscopic classification of endometrial lesions based on a combined score:

DESIGN

A prospective study to grade four features of endometrial lesions (thickness, surface, color, vascularization) and subdivide them as mild (low risk) and severe (high risk).

SETTING

Gynecologic endoscopy unit of an obstetric and gynecology clinic.

PATIENTS: Two hundred twenty-nine women with hysteroscopically diagnosed endometrial lesions.

INTERVENTIONS: Hysteroscopic inspection of endometriotic lesions, with grading performed on the four features.

MEASUREMENTS AND MAIN

RESULTS

The sensitivity and specificity of our system were 86.9% and 87.4% for mild pathology, and 96% and 92.9% for severe pathology.

CONCLUSIONS

This hysteroscopic classification of endometrial pathology can be useful for a better definition of endometrial lesions. The method has good sensitivity and specificity.