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Transvaginal sonography in postmenopausal women
A Schoenfeld1, H Levavi, M Hirsch
1Department of Obstetrics and Gynecology, Beilinson Medical Center, Petah Tikva, Israel.
Journal of Clinical Ultrasound : JCU
|May 1, 1990
Summary
Transvaginal sonography (TVS) effectively detects endometrial and ovarian changes in postmenopausal women. This imaging technique shows promise for monitoring hormone therapy and identifying benign ovarian cysts, reducing the need for immediate surgery.
Area of Science:
- Gynecology
- Radiology
- Oncology
Background:
- Transvaginal sonography (TVS) is an emerging diagnostic tool for female pelvic evaluation.
- Postmenopausal women present unique diagnostic challenges in gynecologic imaging.
Purpose of the Study:
- To review the utility of TVS in evaluating postmenopausal women.
- To assess TVS's effectiveness in detecting endometrial and ovarian pathologies.
- To evaluate TVS for monitoring hormone replacement therapy and managing ovarian cysts.
Main Methods:
- Synoptic review of over 200 cases of postmenopausal women.
- Analysis of TVS findings for endometrial changes, myometrial invasion, fibroids, and ovarian pathology.
- Correlation of TVS findings with histological data and surgical gross examination.
Main Results:
- TVS detected endometrial changes (carcinoma, hyperplasia) in 81% and myometrial invasion in 84% of cases.
- Ovarian pathology detection demonstrated 83% sensitivity and 100% specificity.
- Small (≤5 cm) postmenopausal ovarian cysts were predominantly benign, with low malignancy incidence.
Conclusions:
- TVS is a reliable tool for evaluating endometrial and ovarian conditions in postmenopausal women.
- TVS can effectively monitor endometrial changes during hormone replacement therapy.
- Small, simple postmenopausal ovarian cysts can be safely managed with TVS follow-up, avoiding unnecessary surgery.