The Value of Chromohysteroscopy in the Assessment of Postmenopausal Vaginal Bleeding

Author(s):  
El-Faissal
JAMA ◽  
1967 ◽  
Vol 199 (10) ◽  
pp. 701-703 ◽  
Author(s):  
F. P. Paloucek

1952 ◽  
Vol 7 (4) ◽  
pp. 544-546
Author(s):  
EDWARD A. SCHUMANN ◽  
ROBERT W. HYATT

2007 ◽  
Vol 86 (5) ◽  
pp. 631-632 ◽  
Author(s):  
Zelalem Mengistu ◽  
Vibeke Engh ◽  
Kjetil K. Melby ◽  
Elisabeth von der Lippe ◽  
Erik Qvigstad

2003 ◽  
Vol 11 (2) ◽  
pp. 97-101
Author(s):  
Aljosa Mandic ◽  
Tamara Vujkov

Postmenopausal vaginal bleeding (PMB) is the leading symptom of endometrial cancer. More than 70% of patients with endometrial cancer are postmenopausal. Despite PMB as a leading symptom in diagnosis of endometrial cancer, PMB could be caused by some benign processes in endometrium such as hyperplasia and focal endometrial disease, such as a polyp. The golden standard for histological evaluation of the endometrium is curettage. Transvaginal ultrasound (TVS) and measurement of endometrium thickness is also one of the favored methods in the last decade. Sonographic imaging of the endometrium can be extremely helpful, because endometrial cancer is nearly always associated with thickening and heterogeneity of the endometrium except in case of atrophy-associated adenocarcinoma of the endometrium, which is not associated with thickening. Hysteroscopy found place as a favored method in diagnosis of focal endometrial lesions. Saline infusion sonohysterography (SIS) is a relatively new imaging procedure. The SIS will show whether the endometrium is diffusely thickened, in which case curettage would be the next step, or focally thickened, in which case hysteroscopy with biopsy would be the next step. Combination of some diagnostic procedures, such as TVS, SIS, hysteroscopy, endometrial biopsy and curettage, should decrease false positive and false negative results which may affect the correct diagnosis and treatment.


GYNECOLOGY ◽  
2020 ◽  
Vol 22 (5) ◽  
pp. 37-43
Author(s):  
Anna E. Protasova ◽  
Irina A. Solntseva ◽  
Ekaterina N. Vandeeva

The article provides an overview of the possible causes of bleeding from the genital tract in peri- and postmenopausal women. The correct approach to patients with abnormal uterine bleeding during menopausal hormone therapy is described. A modern analysis of data on the diagnosis and treatment of postmenopausal vaginal bleeding against the background of menopausal hormone therapy was carried out. The modern possibilities of endometrial diagnostics and treatment are shown.


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