OBJECTIVES: We have established a 'one stop' clinic for the management of @entity1 with abnormal uterine @entity548 based on transvaginal sonography and saline contrast sonohysterography. This report reviews our experience with the first 93 @entity1 attending the clinic. DESIGN AND METHODS: @entity1 were seen with the intention of performing a transvaginal scan, saline contrast sonohysterography, endometrial biopsy, full blood count and thyroid function tests. The findings were prospectively recorded on a computer database and a management plan formulated. RESULTS: A transvaginal scan was performed on 89 (95.7%) @entity1 , 70 (75.3%) also undergoing saline contrast sonohysterography. An endometrial biopsy was carried out in 67 (72%) @entity1 aged 40 years and above, and 79 (84.9%) had blood tests. The median age of @entity1 was 44 (range, 21-78) years. The majority of @entity1 presented with @entity1866 . Uterine pathology was detected on transvaginal scan in 42 (47.2%) cases. Adnexal pathology was detected in 12 (13.5%) of the @entity1 . Endometrial biopsy detected three (4.5%) cases of endometrial atypia, and three (4.5%) cases of @entity420 . A hemoglobin level of < 10 g/dL was detected in 3 (3.4%) @entity1 . A single clinic visit was thought sufficient for 83 (89.2%) @entity1 . Medical therapy was started in 47 (50.5%) @entity1 , 15 (16.3%) were brought back for inpatient diagnostic hysteroscopy, and nine (9.7%) were booked for operative endoscopy, while six (6.5%) had conventional surgery; the remainder were reassured. CONCLUSIONS: This study demonstrates that a 'one stop' management philosophy based on pelvic ultrasound is feasible. Our data suggest that diagnostic hysteroscopy can be decreased using this approach, and challenge the use of hysteroscopy as the first stage test.

The feasibility of a 'one stop' ultrasound-based clinic for the diagnosis and management of abnormal uterine XXXX .

@entity1 :: ('9606', 'Species') :: ['women', 'Patients', 'patients'] @entity1866 :: ('MESH:D008599', 'Disease') :: ['menstrual disorders'] @entity420 :: ('MESH:D000230', 'Disease') :: ['adenocarcinoma'] @entity548 :: ('MESH:D006470', 'Disease') :: ['bleeding']
@entity548 :: (MESH:D006470,Disease) :: ['bleeding']
