Related Experiment Videos
[Endometrial measurement by transvaginal sonography in postmenopausal bleeding]
Harefuah
|May 15, 1996
Summary
Transvaginal sonography (TVS) effectively investigates postmenopausal bleeding (PMB). An endometrial thickness over 5 mm detected by TVS strongly indicates endometrial pathology, guiding further diagnostic steps.
Area of Science:
- Gynecology
- Diagnostic Imaging
- Pathology
Background:
- Postmenopausal bleeding (PMB) requires accurate investigation to rule out endometrial pathology.
- Transvaginal sonography (TVS) is a non-invasive imaging technique used in gynecological assessments.
Purpose of the Study:
- To evaluate the diagnostic role of transvaginal sonography (TVS) in identifying endometrial pathology in women with postmenopausal bleeding (PMB).
Main Methods:
- A study involving 50 women with PMB and 25 asymptomatic controls.
- Endometrial thickness was measured using TVS and compared with histopathological findings after diagnostic curettage or hysterectomy.
Main Results:
- Endometrial thickness > 5 mm showed 100% sensitivity and 64% specificity for endometrial pathology.
- Pathological changes, including endometrial cancer, were found in 22 of 32 patients with endometrial thickness > 5 mm.
- All patients with endometrial thickness < 5 mm had normal histology.
Conclusions:
- TVS is a valuable tool for investigating PMB.
- For PMB patients with a uniform endometrium < 5 mm thick, TVS follow-up may be an alternative to immediate curettage.