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April 21, 2009
In some women, a procedure called a diagnostic hysteroscopy is in order when there is abnormal bleeding around the time of menopause, spontaneous bleeding after the menopause, or abnormal bleeding while on HRT. The purpose is to try to find the cause of the abnormal bleeding. The procedure involves the insertion of a small telescope through the cervix, which enables the doctor to view the endometrial tissue and assess its distribution and thickness and the presence of any abnormalities. At or after hysteroscopy the doctor can take a sample of the endometrium by means of biopsy or curettage. If you still have your uterus and are being prescribed, or choose to take, oestrogen without added progestogen (this is known as unopposed oestrogen), you should have an endometrial biopsy or a curette every six to twelve months. The same applies to women on HRT who have had previous abnormal changes to the endometrium.
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