Effect of Body Mass Index on Endometrial Thickness in Postmenopausal Asymptomatic Patients

Abstract

To evaluate whether body mass index (BMI) is an important parameter that affects the thickness of the endometrium in asymptomatic postmenopausal women. Methods: Our study was performed retrospectively using computer and file records of 434 postmenopausal women who were admitted to the Istanbul Research and Training Hospital Menopause clinic between June 2008 and April 2010. Endometrial thickness and biopsy results were compared among patients with endometrial thickness of >5 mm. The correlation between endometrial thickness and menopause age, BMI, diabetes mellitus (DM), hypertension (HT), and smoking were evaluated statistically. Results: Statistically significant p-values were obtained between endometrial thickness and high BMI, DM, HT, and menopause age. Evaluation of the pathology results revealed atypical complex hyperplasia in one case (0.2%), endometrial polyp in 22 cases (5.1%), endometrial proliferation in 17 cases (3.9%), simple endometrial hyperplasia in four cases (0.9%), atrophic endometrium in 22 cases (5.1%), and endometrial secretion in 12 cases (2.8%). Conclusion: We were determined that BMI is an important parameter that affects endometrial thickness and should be considered in follow-ups of endometrial pathologies of asymptomatic postmenopausal women.

Risk Factors for Endometrial Hyperplasia in The Perimenopausal Period and Nursing Approach

“…Hormon replasman tedavisi ile endometrium kalınlığında artış arasında ise zayıf düzeyde anlamlı bir ilişki bulunmuştur. Bu çalışmada, BKİ'nin postmenapozal dönemdeki kadınlarda endometrium kalınlığını etkileyen önemli bir parametre olduğu ifade edilmiştir (54) . Postmenapozal kanamalı hastalarda malignite gelişiminde yaş, endometrium kalınlığı ve BKİ'nin etkilerinin karşılaştırıldığı bir çalışma da ise; endometrium kalınlığı ve yaş ile malignite gelişimi arasında anlamlı bir ilişki saptanırken, BKİ ve malignite arasında anlamlı bir ilişki bulunamamıştır (55) .…”