الفهرس 
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Abstract
Dying of the endometrium is relatively recent technique in the
literature, first reported 2006 unlike gastrointestinal chromoendoscopy.
This study was conducted between April 2009 and April 2011 and
included 150 patients with peri- and postmenopausal bleeding recruited
from OBGYN clinic in menofiya university hospital.
All the patients underwent chromohysteroscopy after initial
hysteroscopic view had revealed no macroscopic lesions then directed
biopsies were taken from dark stained areas then D&C biopsy were
performed for all patients there were no any reported complications.
The main results revealed that positive staining was observed in 70
women, also positive staining was significantly more prevalent in
postmenopausal women. Every patient of those had 2 biopsies, one
chromohysteroscopy directed and the other was D&C biopsy.
When the 2 groups of specimens were compared,
chromohysteroscopy directed biopsy was more detectable for endometrial
pathologies especially endometritis so that 3 more cases of hyperplasia
were detected (one perimenopausal and 2 postmenopausal), 5 more cases
of endometritis were also detected (2 perimenopausal and 3
postmenopausal) in addition to one case of endometrial carcinoma,
although not reaching the level of stastistical significance, these results
should be taken in consideration.
It seems that chromohysteroscopy improves the accuracy of
conventional hysteroscopy in the diagnosis of microscopic endometrial
pathologies.
This simple technique opens a new avenue in the diagnosis of
endometrial pathology.
Large scale study is needed to verify these conclusions.