Narrative review of hysteroscopy and endometriosis treatment

Abstract

Endometriosis is defined as the presence of endometrial glands and stroma located outside the uterine cavity. Adenomyosis is a benign uterine disease, characterized by the presence of glands and endometrial stroma in the uterine musculature. Hysteroscopy is indicated in patients diagnosed with endometriosis when there is also infertility, in the investigation of intrauterine causes of dysmenorrhea and abnormal uterine bleeding. The investigation of the uterine cavity by hysteroscopy will only be indicated in cases where the treatment of choice leads to uterine preservation, if there is an indication for hysterectomy, this investigation will not be necessary, except when there is suspicion of cervical or endometrial cancer. Literature review on endometriosis and uterine manifestations. Personal and college libraries searching for texts on research methods and literature reviews. Hysteroscopy is indicated in patients diagnosed with endometriosis when there is also infertility, in the investigation of intrauterine causes of dysmenorrhea and abnormal uterine bleeding. Endometrial polyps, myomas and uterine malformations are related to endometriosis. Those entities are related to infertility, pelvic pain and abnormal uterine bleeding. Hysteroscopy is able to diagnose and treat the majority of uterine lesions associated to endometriosis. Chronic endometritis, Endometrial Polyps, Myomas and uterine malformations should be investigated by hysteroscopy in patients with endometriosis.