Conclusions
The technologies currently available for office-based hysteroscopy are advantageous for patients 70 years of age or older in order to avoid the risks of anesthesia and to promote lower complication rates and fair chances of a complete procedure. In patients with failed hysteroscopy and a moderate-to-high index of suspicion of malignancy, a repeat hysteroscopy is recommended. Trends over time have enabled the achievement of significant numbers of pathological diagnoses in the office, making the office procedure a viable option, especially for a patient population characterized by higher rates of clinically significant findings.