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Abnormal Uterine Bleeding.

Ashraf Khafaga1, Steven R Goldstein2

  • 1Icahn School of Medicine at Mount Sinai, 1 Gustave L. Levy Pl, New York, NY 10029, USA.

Obstetrics and Gynecology Clinics of North America
|November 4, 2019
PubMed
Summary
This summary is machine-generated.

Abnormal uterine bleeding (AUB) evaluation is crucial in women over 40. Transvaginal ultrasonography aids in promptly identifying endometrial cancer risks.

Keywords:
Abnormal uterine bleedingEndometrial biopsyEndometrial carcinomaPALM-COEIN systemPerimenopausePostmenopauseSonohysterography (SIS)Transvaginal ultrasonography

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Area of Science:

  • Gynecology
  • Radiology
  • Oncology

Background:

  • Abnormal uterine bleeding (AUB) significantly impacts women's quality of life and healthcare costs.
  • Prompt evaluation of AUB in women over 40, particularly postmenopausal women, is essential to rule out endometrial malignancies.
  • Endometrial cancer is the most common gynecologic malignancy in the US, with substantial annual incidence and mortality.

Purpose of the Study:

  • To outline the role of transvaginal ultrasonography in evaluating abnormal uterine bleeding.
  • To emphasize the importance of early diagnosis in postmenopausal women with AUB.
  • To highlight the diagnostic utility of ultrasound in detecting potential endometrial pathologies.

Main Methods:

  • Review of current literature and clinical guidelines.
  • Description of transvaginal ultrasonography techniques for endometrial assessment.
  • Discussion of ultrasound findings indicative of endometrial abnormalities.

Main Results:

  • Transvaginal ultrasonography is a key imaging modality for evaluating the endometrium in women with AUB.
  • Ultrasound can differentiate between normal and abnormal endometrial thickness, aiding in risk stratification.
  • Specific ultrasound features can suggest the presence of endometrial hyperplasia or cancer.

Conclusions:

  • Transvaginal ultrasonography plays a vital role in the initial assessment of abnormal uterine bleeding, especially in older women.
  • This imaging technique assists in the early detection of endometrial cancer, improving patient outcomes.
  • Efficient evaluation using transvaginal ultrasonography can guide further diagnostic and therapeutic decisions.