Narrative review of hysteroscopy and endometriosis treatment

Ricardo Bassil Lasmar, Bernardo Portugal Lasmar
In: Gynecology and Pelvic Medicine · 2021 · vol. 4 , pp. 7 · doi:10.21037/gpm-2020-es-01 · W3111149815
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⚙ AI-generated summary by claude@2026-06, 2026-06-07 ⓘ

Hysteroscopy is indicated for endometriosis patients with infertility, dysmenorrhea, or abnormal uterine bleeding to diagnose and treat associated intrauterine lesions like polyps and myomas.

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⚙ AI-generated deep summary by claude@2026-06, 2026-06-07 ⓘ

This narrative review examined the use of hysteroscopy in people with endometriosis and related uterine conditions, focusing on indications, hysteroscopic evaluation of the uterine cavity, and links between endometriosis, adenomyosis, and uterine pathology. The review synthesizes MEDLINE/Web of Science/Cochrane literature plus reference checking, reporting associations such as higher prevalence of endometrial polyps and chronic endometritis in patients with endometriosis (including altered rates by disease stage), potential links with uterine malformations, and frequent overlap with adenomyosis, while noting heterogeneity and ongoing debate (including around cancer-related genetic/methylation findings). A major limitation is that, as a narrative review, it does not provide a single quantitative effect estimate and relies on studies with variable designs and evidence quality. This paper is centrally about endometriosis — it focuses on how hysteroscopy is used to evaluate and treat intrauterine findings associated with endometriosis, and it also discusses adenomyosis due to their frequent overlap.

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Abstract

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.

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Condition tags

endometriosisadenomyosisdysmenorrheainfertility

Citation neighborhood

Papers in the corpus that this work cites (lower rings, blue) and that cite this one (upper rings, green). Dot size scales with the paper's in-corpus citation count — bigger dot = more influential within the endo/adeno field. Click a dot to open that paper. [ expand to 2 hops ] — adds papers reached through this work's immediate citers/citees. Heavier; up to 60 extra dots.

References (27)

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