Endometrial thickness screening in premenopausal women with abnormal uterine bleeding

Getpook, Chatpavit; Wattanakumtornkul, Saranya

doi:10.1111/j.1447-0756.2006.00455.x

Cited by 59 publications

(47 citation statements)

References 11 publications

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“…Mean endometrial thickness of <8mm is less likely to be associated with malignant pathology in perimenopausal age group which is consistent with the study by Getpook C et al, [11] they found that endometrial thickness of 8 mm or less is less likely to be associated with malignant pathologies in perimenopausal uterine bleeding. Most of the patients were diagnosed as Anovulatory DUB about 60% followed by Hyperplasia without atypia and Ovulatory DUB about 15% and 13.3% respectively.…”

Section: Discussionsupporting

confidence: 91%

Assessing Response of Perimenopausal Abnormal Uterine Bleeding after Treatment

Rani¹,

Mallika²

2016

International Journal of Medical and Dental Sciences

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Section: Discussionsupporting

confidence: 91%

Assessing Response of Perimenopausal Abnormal Uterine Bleeding after Treatment

Rani¹,

Mallika²

2016

International Journal of Medical and Dental Sciences

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“…Endometrium equal to or thicker than 5 mm in the postmenopausal period was regarded as abnormal. (10)(11) In few patients, the technique was unsuccessful due to continuous leakage of saline through internal os. Few patients also complained of crampy lower abdominal pain, after which the procedure was temporarily stopped.…”

Section: Methodsmentioning

confidence: 99%

“…Several studies in recent literature have indicated that saline infusion sonography can differentiate intracavitary masses from more diffuse endometrial thickening. (6)(7)(8)(9)(10)(11) This study was performed to evaluate the role of SIS in detecting the endometrial lesion in women with AUB and thickened endometrium. Although, the use of fluid enhancement in abdominal ultrasound was described both for uterine and tubal observations.…”

Section: Introductionmentioning

confidence: 99%

Saline Infusion Sonography in Assessment of Endometrial Pathologies in Patients With Thickened Endometrium Presenting With Aub

Maravi¹,

Verma²,

Kaushal³

et al. 2016

jemds

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Abnormal Uterine Bleeding (AUB) is one of the commonest complaint of adult females presenting into the gynaecologic departments. In most of the patients the bleeding is due to the functional endometrial lesion, while the cause is hormonal in rest of the patients. These patients usually need invasive procedures like hysteroscopy or HSG for evaluation of intracavitary lesion. The aim of this study is to assess the role of Saline Infusion Sonography (SIS) in detecting the intracavitary (endometrial) lesions of uterus in patient with abnormal uterine bleeding and thickened endometrium on Transvaginal Ultrasound (TVS) and establishing its diagnostic accuracy. METHODThis prospective hospital-based study includes SIS examination of 80 adult female patients who presented with abnormal uterine bleeding and demonstrated thickened endometrium on transvaginal ultrasound at Department of Radiodiagnosis and Imaging, Gandhi Medical College and Hamidia Hospital, Bhopal (Madhya Pradesh), for the period of six months. Written informed consent from all the patients taken. All patients were evaluated on the same day and findings were recorded. RESULT60 patients out of 80 showed presence of functional endometrial lesion. Most common endometrial pathology was submucosal myoma followed by endometrial polyps. Most rare cases were of Uterine Synechiae {2 in number}. SIS yielded high sensitivity and specificity for intracavitary lesions and diagnostic accuracy for submucosal myoma and endometrial polyp was 100%. CONCLUSIONSIS proved to be highly sensitive and specific method to diagnose intracavitary lesion of uterus. The method is minimally invasive, well tolerated and easy to carry out under hospital settings with very less incidence of post-procedural complications (No major complication in this study). It can be used to replace hysteroscopy to diagnose various intracavitary (endometrial) lesion of uterus. KEYWORDSSaline Infusion Sonography (SIS), Thickened Endometrium, AUB, Endometrial Pathologies. HOW TO CITE THIS ARTICLE:Maravi P, Verma V, Kaushal L, et al. Saline infusion sonography in assessment of endometrial pathologies in patients with thickened endometrium presenting with AUB.

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“…Higher values of EMT indicate endometrial hyperplasia or endometrial carcinoma. 16,17 This study is aimed at comparing the endometrial thickness as measured by TVS with histopathology of the endometrium in patients with PMB and to define a cut off value of EMT by plotting a Receiver Operating Characteristic curve (ROC) for identifying patients at risk for malignancy.…”

Section: Introductionmentioning

confidence: 99%

Role of transvaginal ultrasound in assessment of endometrial pathology in patients with post-menopausal bleeding

Menon

Sreekumari

2017

Int J Reprod Contracept Obstet Gynecol

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Background: Post-menopausal bleeding (PMB) is the most distressing problem in females Endometrial thickness (EMT) as assessed by transvaginal ultrasound (TVS) aids in diagnosing endometrial pathology. This study analyses usefulness of TVS as a diagnostic tool in the evaluation of PMB.Methods: A prospective study was conducted in 100 patients. Correlation of EMT by TVS was compared with gold standard of histopathological examination (HPE) of the endometrium by fractional curettage (FC).Results: Mean age was 56.9±8.03 years and mean parity status was 2.83±1.45. Mean duration after menopause to presentation of bleeding per vaginum was 5.7±3.85 years. As per the receiver operating characteristic curve (ROC) analysis, an EMT of 10.8 mm had a high negative predictive value (99.1%) for malignancy with moderate specificity (62.79%) and high sensitivity (92.3%).Conclusions: TVS can be easily performed and is less expensive and a useful diagnostic tool in the evaluation of PMB with a cut off value of 10.8 mm EMT gives a high sensitivity (92.3%) and moderate specificity (62.79%).

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Endometrial thickness screening in premenopausal women with abnormal uterine bleeding

Abstract: Endometrial thickness of 8 mm or less is less likely to be associated with malignant pathologies in premenopausal uterine bleeding.

Cited by 59 publications

References 11 publications

Assessing Response of Perimenopausal Abnormal Uterine Bleeding after Treatment

Assessing Response of Perimenopausal Abnormal Uterine Bleeding after Treatment

Saline Infusion Sonography in Assessment of Endometrial Pathologies in Patients With Thickened Endometrium Presenting With Aub

Role of transvaginal ultrasound in assessment of endometrial pathology in patients with post-menopausal bleeding

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