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Ultrasonography of endometrium
1Second Department of Obstetrics and Gynecology, University of Helsinki, Finland.
Annals of Medicine
|April 1, 1990
Summary
Vaginal sonography is a valuable tool for assessing the endometrium, measuring thickness, and analyzing echo patterns. It aids in diagnosing conditions and monitoring treatments in women of all ages.
Area of Science:
- Gynecologic imaging
- Diagnostic ultrasound
Background:
- Endometrial evaluation is crucial for diagnosing various gynecological conditions.
- Sonography offers a non-invasive method for assessing endometrial characteristics.
Purpose of the Study:
- To highlight the utility of abdominal and vaginal sonography in evaluating the endometrium.
- To describe sonographic findings in normal and abnormal endometrial states.
Main Methods:
- Utilizing abdominal and vaginal sonography to visualize and analyze endometrial thickness and echo patterns.
- Correlating sonographic findings with different phases of the menstrual cycle and specific clinical conditions.
Main Results:
- The 'triple line sign' is characteristic of the late proliferative and periovulatory phases.
- Echogenic endometrium with posterior enhancement is observed during the secretory phase.
- Endometrial thickness ≥ 4-5 mm in postmenopausal women warrants further investigation.
- Sonography reliably estimates myometrial invasion in endometrial cancer.
Conclusions:
- Sonography is a versatile and effective imaging modality for endometrial assessment.
- Sonographic evaluation aids in diagnosis, treatment monitoring, and staging of endometrial pathologies.