{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,15]],"date-time":"2026-10-15T21:31:31Z","timestamp":1792099891162,"version":"4.4.0"},"reference-count":13,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"3","content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2021,7]]},"abstract":"<jats:p>The risk of premalignant and malignant endometrial pathologies increases in the postmenopausal period. Dilatation and curettage fail to diagnose one in ten endometrial pathologies. Hysteroscopy is the gold standard to evaluate the endometrial cavity. Hysteroscopy can identify malignant or benign pathology with approximately 20% false-positive results. Hysteroscopy combined with biopsy increases the accuracy of diagnosis up to 100%. This pictorial review takes you through the hysteroscopic view of normal-looking postmenopausal atrophic uterus, cystic atrophy, benign endometrial pathologies, endometrial hyperplasia, endometrial cancer, tamoxifen-induced endometrial hyperplasia and histiocytic endometritis. The purpose of this pictorial review is to guide the operator in systematic evaluation of the endometrial cavity with special attention to the thickness of the endometrium, vascular architecture, location of the lesion and surface aberrations, which adds value to the diagnosis and management of endometrial pathologies.<\/jats:p>","DOI":"10.4103\/jmh.jmh_152_21","type":"journal-article","created":{"date-parts":[[2021,11,3]],"date-time":"2021-11-03T02:57:50Z","timestamp":1635908270000},"page":"232-236","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":2,"title":["Understanding the Endometrium at Menopause: A Hysteroscopist's View"],"prefix":"10.4103","volume":"12","author":[{"given":"Milind","family":"Telang","sequence":"first","affiliation":[{"name":"Department of Obstetrics and Gynaecology, Galaxy Care Multi Speciality Hospital and Indira Maternity Hospital, Pune, Maharashtra, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tanvir","family":"Tanvir","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology, Tanvir Hospital, Hyderabad, Telangana, India"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2021,10,16]]},"reference":[{"key":"R1-20250529","first-page":"18","article-title":"Endometrial histopathology results and evaluation of endometrial cancer risk in geriatric women","volume":"17","author":"G\u00fcnakan","year":"2018","journal-title":"Prz Menopauzalny"},{"key":"R2-20250529","doi-asserted-by":"crossref","first-page":"1131","DOI":"10.1034\/j.1600-0412.2001.801210.x","article-title":"Dilatation and curettage fails to detect most focal lesions in the uterine cavity in women with postmenopausal bleeding","volume":"80","author":"Epstein","year":"2001","journal-title":"Acta Obstet Gynecol Scand"},{"key":"R3-20250529","doi-asserted-by":"crossref","first-page":"117","DOI":"10.1016\/j.maturitas.2004.05.003","article-title":"Role of hysteroscopy and endometrial biopsy to rule out endometrial cancer in postmenopausal women with abnormal uterine bleeding","volume":"50","author":"Litta","year":"2005","journal-title":"Maturitas"},{"key":"R5-20250529","first-page":"16","article-title":"Hysteroscopy with selective endometrial sampling compared with D&C for abnormal uterine bleeding: The value of a negative hysteroscopic view","volume":"73","author":"Loffer","year":"1989","journal-title":"Obstet Gynecol"},{"key":"R7-20250529","doi-asserted-by":"crossref","first-page":"992","DOI":"10.3109\/00016349.2010.493196","article-title":"Treatment of endometrial polyps: A systematic review","volume":"89","author":"Lieng","year":"2010","journal-title":"Acta Obstet Gynecol Scand"},{"key":"R8-20250529","doi-asserted-by":"crossref","first-page":"235.e1","DOI":"10.1016\/j.ajog.2008.09.876","article-title":"How often are endometrial polyps malignant in asymptomatic postmenopausal women. 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