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.