One-stop clinic for peri-, postmenopausal bleeding; does it have a role?

الملخص EN

A postmenopausal bleeding (PMB) clinic was set-up to provide a quicker access for consultation, trans-vaginal ultrasound (TVS) and pipette endometrial sampling in one visit.

The aim of the study was to evaluate the impact of one stop FMB clinic on reaching a diagnosis and initiate treatment.

Since the service started 107 women were referred to FMB clinic.

We analyzed the prospective finding of eighty patients who met the criteria of direct general practioner referral to PMB clinic.

The mean time from GP referral to consultation at PMB clinic was 14.8 days (range: 2-24 days) TVS had done for 97.5% of women and abnormal findings were reported in 67.5%.

pipette endometrial sampling was perfoiroed in 31 patients and a sample obtained successfully in 21 women.

Ten women referred directly for diagnostic hysteroscopy and another ten had hysteroscopy following failed pipette sampling.

After reassurance by consultation and normal TVS , 24 ^omen (30%) discharged back to their GPs.

seventy women (87.5%) considered a single PMB clinic visit was satisfactory.

This study demonstrates the effective role of' one-stop PMB clinic to provide quick reassurance, arrive at a diagnosis and initiate plan of management during single outpatient visit.