Objective. The aim of the study was to identify the cut-off of endometrial thickening for the early suspicion of malignancy and to demonstrate the superiority of hysteroscopy over ultrasound in the diagnosis of asymptomatic intracavitary uterine pathologies. Patients and Methods. 105 women in menopausal state with endometrial thickening > 4 mm and without any symptoms were recruited. The patients then underwent hysteroscopy and received biopsy. The cut-off value for ultrasonography-measured endometrial thickening above which it would be possible to raise a more likely suspect of malignancy is 8 mm. Moreover, the single benign polyp is the most prevalent intracavitary uterine pathology. Results. There isn't a statistically significant correlation between finding a homogeneous endometrial thickening upon ultrasonography and the presence of a benign polyp. Conclusions. Hysteroscopy has to be considered the gold standard diagnostic exam.

Objective. Hysteroscopy is a minimally invasive endoscopic surgical procedure recognized as a "gold standard" for the evaluation of the uterine cavity, for both diagnostic and therapeutic purposes. The possibility of performing hysteroscopy on an outpatient basis strictly depends on the patient's good compliance, which is a key prerequisite. Materials and Methods. Various methods of analgesia are reported in the Literature, one of them is vocal distraction. Occupying the mind with a distracting activity reduces pain sensations, not just by psychological conditioning. Results. Among patients who experienced verbal distraction analgesia, only 16% of them reported a high level of pain perception (VAS score > 4), while among untreated patients the percentage was 70%, 16% of which presented values within tolerable limits. Conclusions. Vocal distraction is thus an effective and easy-to-use analgesic method.