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Endometrial aspiration in fertility control. A report of 500 cases.

Abstract：

:Outpatient endometrial aspiration was offered to patients who suspected that they were pregnant, but were within 5 to 21 days after failure of expected menstruation and had a uterus of normal size on pelvic examination. This is a report of 500 consecutive cases treated between September, 1973, and April, 1975. Histologic examination of the aspirated tissue was obtained on all 500 cases (100 per cent). Follow-up examination and urine pregnancy was obtained on 407 patients (81.4 per cent). Histologic evidence of pregnancy was obtained in 323 patients (64.6 per cent). Complications were limited to five infections (1 per cent), only one of which led to hospitalization of the patient, and failure to completely evacuate the pregnant uterus in 39 patients (12.1 per cetn of the 323 pregnant). Thirty-four of these had the uterus emptied by a second outpatient procedure and five patients were hospitalized to complete their abortion. :500 consecutive cases of suspected pregnancy (5-21 days after failure of expected menses) treated with endometrial aspiration between September 1973 and April 1975, are discussed. Patients had normal size uteruses and were without active pelvic inflammatory disease. Histologic examination of the aspirated tissue showed evidence of pregnancy in 323. 81.4% returned for a follow-up visit. 96% accepted some form of contraception. 39 patients needed a 2nd procedure for failure to completely evacuate the uterus. Serious side effects were minimal. It is necessary to develop a more sensitive, accurate, and rapid pregnancy test to prevent unnecessary evacuations. In a discussion following presentation of this paper, the authors were questioned on their use of a uterine sound, whether unnecessary procedures are compensated by early action, the high rate of reaspiration, and their failure to use anti-Rh globulin for their Rh-negative patients.

journal_name

Am J Obstet Gynecol

journal_title

American journal of obstetrics and gynecology

authors

Bendel RP,Williams PP,Butler JC Jr

doi

10.1016/0002-9378(76)90567-6

subject

Has Abstract

pub_date

1976-06-01 00:00:00

pages

328-32

issue

eissn

0002-9378

issn

1097-6868

pii

0002-9378(76)90567-6

journal_volume

125

pub_type

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Endometrial aspiration in fertility control. A report of 500 cases.