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Evaluation of the endometrial cavity during menopause
Author(s) -
Maia H.,
Barbosa I.C.,
Farias J.P.,
Ladipo O.A.,
Coutinho E.M.
Publication year - 1996
Publication title -
international journal of gynecology and obstetrics
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.895
H-Index - 97
eISSN - 1879-3479
pISSN - 0020-7292
DOI - 10.1016/0020-7292(95)02577-4
Subject(s) - medicine , curette , hysteroscopy , endometrial polyp , curettage , menopause , endometrium , uterine cavity , endometrial hyperplasia , gynecology , radiology , obstetrics , uterus , surgery
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. Conclusion: Hysteroscopy proved superior to curettage in the diagnosis of endometrial polyps.