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Updated: Jun 16, 2026

Auricular Point Acupressure Therapy: A Safe and Effective Treatment for Postsurgical Abortion Recovery
07:28

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Published on: February 3, 2026

Diagnostic strategies for postmenopausal bleeding.

M C Breijer1, A Timmermans, H C van Doorn

  • 1Department of Clinical Epidemiology, Biostatistics and Bioinformatics, Academic Medical Center, University of Amsterdam, Meibergdreef 9, 1105 AZ Amsterdam, The Netherlands.

Obstetrics and Gynecology International
|February 20, 2010
PubMed
Summary
This summary is machine-generated.

Postmenopausal bleeding (PMB) requires careful evaluation to rule out endometrial cancer. While transvaginal sonography is a first step, its accuracy varies, and invasive procedures are more definitive but carry risks.

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Last Updated: Jun 16, 2026

Auricular Point Acupressure Therapy: A Safe and Effective Treatment for Postsurgical Abortion Recovery
07:28

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Published on: February 3, 2026

Area of Science:

  • Gynecology
  • Oncology
  • Diagnostic Imaging

Background:

  • Postmenopausal bleeding (PMB) is a frequent clinical concern.
  • Patients with PMB have a 10%-15% risk of endometrial carcinoma, necessitating malignancy exclusion.
  • Certain patient groups exhibit higher endometrial carcinoma incidence (up to 29%) with PMB.

Purpose of the Study:

  • To review the diagnostic strategies for endometrial carcinoma in postmenopausal bleeding (PMB) patients.
  • To assess the accuracy of transvaginal sonography (TVS) in excluding endometrial carcinoma.
  • To discuss the role of invasive diagnostic procedures in PMB workup.

Main Methods:

  • Review of existing literature on diagnostic workup for PMB.
  • Evaluation of transvaginal sonography (TVS) accuracy for endometrial carcinoma detection.
  • Comparison of invasive diagnostic procedures (D&C, hysteroscopy, biopsy) with TVS.

Main Results:

  • Transvaginal sonography (TVS) is a common first-line diagnostic tool for PMB.
  • Authors report conflicting conclusions regarding the accuracy of TVS for excluding endometrial carcinoma.
  • Invasive procedures offer higher accuracy but are more invasive.

Conclusions:

  • The optimal diagnostic strategy for endometrial carcinoma in PMB remains controversial.
  • Further research is needed to enhance the accuracy of diagnostic approaches for PMB.
  • Accurate diagnosis is crucial given the significant risk of malignancy in PMB patients.