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Evaluation of the endometrial cavity during menopause
H Maia1, I C Barbosa, J P Farias
1Centro de Pesquisas e Assistência em Reprodução Humana, Bahia, Brazil.
Objective:
To compare transvaginal sonography (TVS), hysteroscopy and suction curettage in the evaluation of uterine bleeding during the menopause.
Methods:
Forty-seven patients who presented with either postmenopausal bleeding (31 cases) or sonographic endometrial abnormalities at menopause (16 cases) were evaluated using TVS, hysteroscopy, and curettage with a Karman curette.
Results:
When endometrial thickness measured by TVS was < 4 mm, there was no endometrial pathology. However TVS could not differentiate accurately between hyperplasia, polyps or endometrial carcinoma. In these cases, endometrial thickness was invariably greater than 5 mm.
Conclusions:
Hysteroscopy proved superior to curettage in the diagnosis of endometrial polyps.