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Review| Volume 1, ISSUE 4, P269-277, June 1979

Cytologic evaluation of hormonal dynamic in the postmenopause

  • A. Schachter
    Affiliations
    Gynecologic Cytology and Colposcopy Unit “Marie Cohen”, Department of Obstetrics and Gynecology, Beilinson Medical Center, Tel Aviv University, Sackler School of Medicine, Tel Aviv, Israel
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  • A. Segall
    Affiliations
    Gynecologic Cytology and Colposcopy Unit “Marie Cohen”, Department of Obstetrics and Gynecology, Beilinson Medical Center, Tel Aviv University, Sackler School of Medicine, Tel Aviv, Israel
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  • E. Avram
    Affiliations
    Gynecologic Cytology and Colposcopy Unit “Marie Cohen”, Department of Obstetrics and Gynecology, Beilinson Medical Center, Tel Aviv University, Sackler School of Medicine, Tel Aviv, Israel
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  • C. Bahary
    Affiliations
    Gynecologic Cytology and Colposcopy Unit “Marie Cohen”, Department of Obstetrics and Gynecology, Beilinson Medical Center, Tel Aviv University, Sackler School of Medicine, Tel Aviv, Israel
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      Abstract

      There is increasing evidence that the postmenopausal ovary retains some endocrine function and thus can contribute a certain extent to the persistence of the vaginal epithelium proliferation a long time after the cessation of menstruations. Vaginal cytology plays an important role in the assessment of the vaginal epithelium response to hormonal stimuli, though less accurate than the blood and the urine estimations. It was established that there was a good correlation between the vaginal cytology and the biochemical estimations [2]. The fact that vaginal cytology cannot distinguish the proliferative patterns induced by estrogens, progesterone and androgens is true.
      With this in mind we did a cytological study in postmenopausal women, using our classification for the cytological typing based on the depth of the epithelial atrophy. The findings are discussed with special reference to the ethnic origin, reproductive life and concurrent illnesses.

      Keywords

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