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Histeroscopic and Hispathologic Endometrium Profile in the Famale Implant Users (Profil Endometrium Secara Histeroskopi dan Histopatologi pada Wanita Pengguna Implant)

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Objective: To understand histeroscopic and hispathologic endometrium profile in the female implant users, and to identify the possibility of the presence of abnormal endometrium blood vessels suffering from bleedings. Design/Data identification: Descriptive cross-sectional study. Setting: Reden Saleh Clinic, Division of Reproductive Health Department of Obstetrics and Gynecology, School of Medicine University of Indonesia/Dr. Cipto Mangunkusumo General Hospital, Jakarta. Subject, Patients, Participants: 44 female implant users admitted to Clinical Raden Saleh during the study period and fulfilled the adminission criteria. Interventions: Histeroscopy and hispathology examinations. Main outcome measures: Surface epithelial, the thickness of stroma, gland, superficial and profound blood vessels. Results: Age characteristic of female implant users is 32.2 years, parity 2.9 children, the average use was 7.8 months. Histeroscopically, the stroma thickness of 2mm was found 63.4 percent gland appearances were present in 73.2 percent cases, the appearances of blood vessels similar to the appearance of proliferation phase were 68.3 percent. Histopathologically, stroma thickness of 2mm was 65.8 percent, the glands suffering atrophy 92.8 percent, capillary vessels only appreared in 19 cases (46.3 percent). The relationship between bleeding and stroma thickness showed that the cases with bleeding had stroma thickness of more than 2mm both histerocopically and histopathologically. Gland appearances in bleeding cases only happened in 55 percent cases, shile cases without bleeding appeared in 90.5 percent. This result was due to bleeding spots discription of uppearances of pro found vessels in both the cases with and without bleeding were not very divergent from those on histopathology. Conclusions: Histeroscopy profile cannot be included in one of the vancaille criteria. Histopathology profile showed that endometrium was in atrophy. Both histerosopy and histopathology profiles with and without blood disorder tend to show no difference.

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Majalah Obstetri dan Ginekologi Indonesia,20(2)199

Publisher

: ., 1996

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endometrium
contraceptive devices, female

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