[The use of gemeprost in diagnostic hysteroscopy]

Abstract

The authors base their argument on the concept that difficulties sometimes arise in performing hysteroscopy above all due to impediments to the introduction of the diagnostic instrument. They therefore report their experience of the pharmacological preparation of the cervix using the local application of prostaglandin vaginal bougie, gemeprost, for short intervals, between 15 and at most 30 minutes, above all when diagnostic hysteroscopy is performed in an out-patients setting. A total of 224 cases of hysteroscopy are analysed which are divided into two distinct groups: the first, a control group without preparation and the second which included 101 patients who underwent pharmacological preparation for 15 (29 women, group B) or 30 minutes (62 women, group C). Having described the method of examination, an analysis of the results confirms that the use of gemeprost facilitates the cervical stage of hysteroscopy, allowing the examination to be performed even in more complex conditions, such as post-menopause or during the secretive phase of the cycle.