Aim:

The aim of this study was to determine risk factors that may play a role in the diagnosis of insufficient endometrial tissue and to evaluate the office hysteroscopy findings of these patients.

Materials and Methods:

The clinical data and results of insufficient endometrial tissue in the medical records of patients at Bakırköy Dr. Sadi Konuk Teaching and Research hospital from August 2018 to November 2019 were analyzed retrospectively.

Results:

Endometrial biopsy procedures were applied to 1560 patients during the period evaluated for the study. The pathology report of 81 patients (5.2%) was evaluated insufficient endometrial tissue. The results of the 64 patients were analyzed in the study. The mean age of the patients in the study was 52.1 years (range= 32-78 years). Results of 64 patients undergoing hysteroscopy; normal hysteroscopic findings (22 patients; 34%), endometrial polyp (18 patients; 28%), appearance of submucous myoma (6 patients; 10%) and atrophic endometrial appearance (18 patients; 28%) were evaluated.

Conclusion:

We point out that insufficient endometrial tissue diagnosis can be detected more often in postmenopausal cases over 60 years of age and in patients with large uterine fibroids. Additionally, we emphasize that hysteroscopy can guide the clinician for definitive diagnosis in patients with insufficient endometrial tissue.

Keywords: Endometrial biopsy, hysteroscopy, insufficient endometrial tissue, inadequate sampling