scholarly journals OC10.05: Endometrial thickness in post menopausal women: comparative study between patients with and without uterine bleeding

2005 ◽  
Vol 26 (4) ◽  
pp. 325-325
Author(s):  
S. Valadares ◽  
M. J. Bernardo ◽  
S. Coutinho ◽  
I. Dias ◽  
N. Assunção
Keyword(s):  
Comparative Study ◽  
Endometrial Thickness ◽  
Uterine Bleeding ◽  
Menopausal Women ◽  
Post Menopausal

scholarly journals Does Transvaginal Ultrasonography Have Good Diagnostic Value in Endometrial Pathology?

2020 ◽  
Vol 10 (2) ◽  
Author(s):  
Moradan S ◽  
Ghorbani R ◽  
Far M
Keyword(s):  
Endometrial Thickness ◽  
Diagnostic Value ◽  
Endometrial Biopsy ◽  
Uterine Bleeding ◽  
Transvaginal Ultrasonography ◽  
Predictive Values ◽  
Menopausal Women ◽  
Post Menopausal ◽  
Abnormal Pathology ◽  
Endometrial Pathology

Introduction: Endometrial biopsy is usually considered unnecessary in post-menopausal uterine bleeding when the endometrial thickness (ET) is less than 5 mm because the risk of endometrial hyperplasia or cancer is low. However, there is still much controversy from this as some believe that the diagnostic value of ET in diagnosis of endometrial pathology (EP) in postmenopausal bleeding is necessary. In this study, the diagnostic value of ET for diagnosis of EP in post-menopausal bleeding was evaluated. Materials and methods: Sixty post-menopausal women with uterine bleeding were evaluated. Transvaginal ultrasonography (TVS) was used for measurement of ET followed by dilatation and curettage in a one-day interval. According to the EP, patients were divided in two groups, normal and abnormal. Endometrial atrophy was considered as normal and hyperplasia, polyps and carcinoma was considered as abnormal. Results: Twenty nine cases had ET more than 6 mm, among them, 25 cases had abnormal pathology (hyperplasia, polyp, cancer) and 4 cases were normal (atrophy). Thirty-one patients had ET equal or less than 6mm, among them, 26 cases were normal (atrophy) and 5 cases had abnormal pathology. The sensitivity, specifi ty, positive and negative predictive values of TVS in the diagnosis of uterine pathology were 83.3%, 86.7%, 86.2%, 83.9% respectively. Conclusion: We suggest that an ET of less than 6 mm in TVS is unlikely to indicate EP in post-menopausal women with uterine bleeding.

scholarly journals Evaluation of the diagnostic accuracy of transvaginal sonography versus hysteroscopy in detection of submucous myomas in peri and postmenopausal women with abnormal uterine bleeding

2021 ◽  
Vol 10 (10) ◽  
pp. 3885
Author(s):  
Kushla Pathania ◽  
Surbhi Sharma
Keyword(s):  
Diagnostic Accuracy ◽  
Postmenopausal Women ◽  
Abnormal Uterine Bleeding ◽  
Uterine Bleeding ◽  
Transvaginal Sonography ◽  
Cross Sectional ◽  
Predictive Values ◽  
Menopausal Women ◽  
Submucous Fibroid ◽  
Post Menopausal

Background: Abnormal uterine bleeding is a very common gynaecological condition that affects all age groups. This study was aimed at assessing the usefulness of TVS in comparison with hysteroscopy in AUB evaluation. Aim was to evaluate the diagnostic accuracy of transvaginal sonography versus hysteroscopy in detection of submucous myomas in peri and postmenopausal women with abnormal uterine bleeding.Methods: The present study was prospective cross sectional study conducted in the Department of Obstetrics and Gynaecology, Kamla Nehru State Hospital for Mother and Child Indira Gandhi Medical College Shimla for period of one year w.e.f. 1st May 2018 to 30th April 2019. The study was started after hospital ethical committee approval. 76 patients peri and post-menopausal women were enrolled in the study after taking written consent.Results: On TVS- all the study subjects underwent TVS examination, submucous fibroid was detected in 10 subjects (n= 76) i.e. 13.1% (all perimenopausal). On hysteroscopy submucous fibroid was detected in 11 (14.4%) subjects, on histopathology it was confirmed in 11 subjects (14.4%). Out of 11, 8 patients underwent hysterectomy, 1 myomectomy, 2 patients had hysteroscopic removal of fibroid. 1 subject with AUB-LSM was wrongly diagnosed as AUB-P. Sensitivity, specificity, positive and negative predictive values of transvaginal sonography versus hysteroscopy was 90.09%, 100%, 100%, 98.5% respectively.Conclusions: TVS is an important initial modality for evaluating the patient of AUB. It is quick, simple, painless, least invasive, less expensive and readily available procedure and does not need full bladder like TAS. On the other hand, hysteroscopy has a better diagnostic accuracy as it provides the option of see and treat which is recommended for peri and post-menopausal women with AUB.

F019 A longitudinal, comparative study of the effect of kliogest and livial on plasma lipids in post-menopausal women

Maturitas ◽  
1996 ◽  
Vol 27 ◽  
pp. 48
Author(s):  
B.L. Sheppard ◽  
N. O'Keeffe ◽  
M. Joyce ◽  
L.A. Norris ◽  
J. Bonnar
Keyword(s):  
Comparative Study ◽  
Plasma Lipids ◽  
Menopausal Women ◽  
Post Menopausal

A Comparative Study of Lipid Profile in Pre- and Post-Menopausal Women with and without Diabetes

2020 ◽  
Vol 16 (2) ◽  
pp. 83
Author(s):  
Ameetha Rani V. ◽  
Mohammed Siddique Ahmed Khan ◽  
Swamy M. ◽  
Jagannatham S.
Keyword(s):  
Comparative Study ◽  
Lipid Profile ◽  
Menopausal Women ◽  
Post Menopausal
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