Menopause: The Journal of The North American Menopause Society Vol. 25, No. 3, pp. 245-248 DOI: 10.1097/GME.0000000000001077 2018 by The North American Menopause Society EDITORIAL f you are a little younger than me, it is probably hard to incidence of malignancy, as high as 93% in one series. Women fathom practicing gynecology without the availability of with postmenopausal bleeding often had dilitation and curre- I ultrasound imaging. If so, imagine a time when one did tages, although the Vabra aspirator for office suction biopsy or a an x-ray of an adnexal mass looking for a tooth to diagnose a Novak Currette attached to a syringe were in wide use. It was dermoid; or even before laparoscopy, when culdoscopy (put- not until the much publicized paper of Stovall et al in 1991, that ting a scope into a culpotomy incision) was the ‘‘minimally disposable suction piston devices dominated by the Pipelle invasive’’ way to access the pelvis; or ectopic pregnancy was brand became the standard of care. In terms of the adnexa, most often diagnosed by putting a needle in the cul-de-sac gynecologists were still functioning under the teachings of looking for nonclotting blood. Much of this even predates me
Menopause – Wolters Kluwer Health
Published: Mar 1, 2018
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