A new hysteroscopic classification of and nomenclature for endometrial lesions

Abstract

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.