Endovaginal Sonographic Evaluation of Postmenopausal Uterine Bleeding.
DR. Manjot Kaur,118/1 Gurjaipal Nagar, Jalandhar,(India).144001. Ph: 9779109999, 9815409999.E-mail: firstname.lastname@example.org
Aims and Objectives- To evaluate the role of endovaginal sonography (EVS) in postmenopausal women (PMW) with postmenopausal bleeding (PMB) and to correlate it with the histopathological diagnosis at curettage, so that unnecessary operations in postmenopausal women could be spared where sonography depicts normal findings.
Materials And Methods-The present study was conducted on postmenopausal women (PMW) with postmenopausal bleeding, who were referred to the department of Radio diagnosis by the department of Gynaecology of Adesh Institute Of Medical Sciences and Research, Bathinda. A total of 112 patients were observed from 2006 to 2008. A written informed consent was taken.
EVS was done to measure endometrial thickness in post menopausal women with postmenopausal bleeding (PMB).
Results-The mean endometrial thickness in PMW with PMB was 8.21Â±6.88mm and in those without PMB was 3.83Â±2.14mm.
With a cutoff value of 4mm endometrial thickness, EVS showed a sensitivity of 100%, specificity 73.33%, a positive predictive value of 76.47%, a negative predictive value 100% and an accuracy of 85.71%.
Conclusion- EVS is a useful method for screening for endometrial abnormalities and we recommend its use in women with postmenopausal bleeding.
Hence, unnecessary operations in postmenopausal women could be spared where the endometrium is ultrasonographically normal.