{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,11,10]],"date-time":"2026-11-10T01:26:34Z","timestamp":1794273994501,"version":"4.9.0"},"reference-count":19,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2024,12,7]],"date-time":"2024-12-07T00:00:00Z","timestamp":1733529600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"},{"start":{"date-parts":[[2024,12,7]],"date-time":"2024-12-07T00:00:00Z","timestamp":1733529600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["obgyn.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Intl J Gynecology &amp; Obste"],"published-print":{"date-parts":[[2025,2]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>Historically, blind intrauterine procedures such as dilation and curettage (D&amp;C) and blind endometrial biopsies have been the primary approach for diagnosing and managing intrauterine pathologies. However, these techniques lack direct visualization, leading to diagnostic limitations, incomplete treatment, and increased complication rates. Despite substantial advances in hysteroscopic technology, including high\u2010definition imaging and minimally invasive instruments, blind procedures remain widely used. This paper examines the limitations of blind intrauterine procedures, underscoring the advantages of hysteroscopy, which provides real\u2010time visualization and allows for more accurate, targeted interventions. With the adoption of the \u201cSee and Treat\u201d philosophy, hysteroscopy enables nearly 90% of procedures to be performed in an office setting, enhancing both patient convenience and outcomes. FIGO and GCH advocate for the gradual replacement of blind procedures with hysteroscopic approaches whenever feasible, noting that hysteroscopy improves diagnostic accuracy, reduces risks, and minimizes the need for repeat interventions. Recommendations include expanding access to hysteroscopy through targeted training, especially in low\u2010 and middle\u2010income countries, where financial and logistical barriers limit access to advanced gynecological care. Furthermore, this paper emphasizes the importance of patient\u2010centered care, encouraging transparent counseling to support informed decision\u2010making.<\/jats:p>","DOI":"10.1002\/ijgo.16078","type":"journal-article","created":{"date-parts":[[2024,12,7]],"date-time":"2024-12-07T07:07:53Z","timestamp":1733555273000},"page":"493-496","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":7,"title":["<scp>FIGO<\/scp>\n                    \u2010\n                    <scp>GCH<\/scp>\n                    joint consensus statement on the current status and recommendations for the use of blind intrauterine procedures in the evaluation and management of women with\u00a0suspected intrauterine pathologies"],"prefix":"10.1002","volume":"168","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-1903-1160","authenticated-orcid":false,"given":"Juan Diego","family":"Villegas\u2010Echeverri","sequence":"first","affiliation":[{"name":"Division of Benign Surgery FIGO  London UK"},{"name":"ALGIA Unidad de Laparoscopia Ginecol\u00f3gica Avanzada y Dolor P\u00e9lvico  Pereira Colombia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1097-7611","authenticated-orcid":false,"given":"Rachel","family":"Pope","sequence":"additional","affiliation":[{"name":"Committee on Obstetric Fistula FIGO  London UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5429-9843","authenticated-orcid":false,"given":"Magali","family":"Robert","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology, Cumming School of Medicine  Calgary Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0331-8781","authenticated-orcid":false,"given":"Ivo","family":"Meinhold\u2010Heerlein","sequence":"additional","affiliation":[{"name":"Committee on Minimal Access Surgery FIGO  London 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A.","family":"Pacheco","sequence":"additional","affiliation":[{"name":"Hysteroscopy Unit Hospital Quir\u00f3n Salud  M\u00e1laga Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6485-5735","authenticated-orcid":false,"given":"Attilio","family":"Di Spiezio Sardo","sequence":"additional","affiliation":[{"name":"Hysteroscopy Unit Hospital Quir\u00f3n Salud  M\u00e1laga Spain"},{"name":"Department of Obstetrics and Gynecology University Federico II  Naples Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2024,12,7]]},"reference":[{"key":"e_1_2_9_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0039-6109(16)35296-3"},{"issue":"4","key":"e_1_2_9_3_1","doi-asserted-by":"crossref","first-page":"S4","DOI":"10.1016\/S1074-3804(96)80140-X","article-title":"New era of office hysteroscopy","volume":"3","author":"Bettocchi S","year":"1996","journal-title":"J Am Assoc Gynecol 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