To analyze office hysteroscopy indication change tendency in Hubei Province Maternal and Child Health Care Hospital between 2004 and 2013, and to discuss the value of office hysteroscopy in diagnosing and treating of gynecology diseases.

A retrospective analysis was made on the 15 001 outpatients who received office hysteroscopy from 2004 to 2013. Firstly, the 10 years were divided into two stages, the former 5 years (2004-2008) and the latter 5 years (2009-2014). Furthermore, all the patients were divided into diagnose indication and therapeutic indication according to preoperative diagnosis. The comparison was conducted on diagnose indication and therapeutic indication by different periods. The study protocol was approved by the Ethical Review Board of Investigation in Human Being of Hubei Province Maternal and Child Health Care Hospital.

① A total of 15 001 outpatients underwent office hysteroscopy between 2004 and 2013, among which 12 092 cases for diagnose indication and the rest for therapeutic indication. During the former 5 years, the top three diagnose indications were abnormal vaginal bleeding (37.9%, 458/1 209), menstrual quantity decreasing or amenorrhea(24.8%, 300/1 209), and infertility (21.1%, 255/1 209), and during the latter 5 years, the top three diagnose indications were menstrual quantity decreasing or amenorrhea(32.2%, 3 505/10 883), infertility (29.8%, 3 240/10 883) and abnormal vaginal bleeding (22.5%, 2 446/10 883). ③Meanwhile, during the former 5 years, the top three therapeutic indications were degree Ⅰ-Ⅱ intrauterine adhesions (37.2%, 103/277), endometrial ablation(32.5%, 90/277) and uterine curettage (24.9%, 69/277); and during the latter 5 years, the top three therapeutic indications were uterine curettage (42.1%, 1 109/2 632), degree Ⅰ-Ⅱ intrauterine adhesions(34.5%, 908/2 632) and intrauterine device(IUD) removing (8.3%, 218/2 632).

There were little changes of office hysteroscopy indications between 2004 and 2013, but the case number increased significantly. Targeted hysteroscopic biopsy was the gold standard in the diagnosis of the uterine cavity diseases. The patients who were treated with office hysteroscopy spend less time than the one who was treated with hysteroscopy in the operating room.