[Initial experience with centralized care of women with bleeding in the climacteric and postmenopausal period].

In 31 women with haemorrhage during the climacteric and postmenopausal period the authors investigated as risk factors of endometrial carcinoma glandular cystic hyperplasia during the perimenopause and signs of oestrogenization of the endometrium in the postmenopausal period. Based on the results of anamnestic data, gynaecological, laboratory and histological examination treatment, incl. administration of gestagens, was outlined. None of the patients who had medroxyprogesterone acetate treatment had a relapse of dysfunctional bleeding or endometrial carcinoma during the one year follow up period. The authors present the results of control examinations after six months treatment. They give an outline of centralized care of risk groups of women in a centre for the pathology. This is a methodological paper, endometrial the basis for a subsequent investigation on the subjects.