STUDY ON ENDOMETRIAL THICKNESS BY TRANSVAGINAL ULTRASONOGRAPHY AND ITS HISTOLOGICAL CORRELATION IN PATIENTS WITH POSTMENOPAUSAL BLEEDING.

Corresponding Author:
Dr. Arpana Kumari,
C/o Raj Mohan Jha, 3rd Street,
Sipahi Tola, Chunapur Road,
Purnea, Bihar.
E-mail: arpanamishra03@gmail.com

ABSTRACT

BACKGROUND

Objective- To diagnose the causes of post-menopausal bleeding and to correlate endometrial thickness by transvaginal sonography and histopathology by dilatation and curettage.

MATERIALS AND METHODS

This study was carried out in the Department of Obstetrics and Gynaecology, PMCH, Patna, Bihar, over a period of 2 years, from October 2014 to September 2016. A total of 100 postmenopausal women complaining of vaginal bleeding were included in the study. These women were subjected to Transvaginal ultrasonography (TVS) and Dilatation & Curettage (D&C) to obtain endometrial tissues for histopathological examination.

RESULTS

Mean endometrial thickness was 8.72 ± 6.77 mm. Majority of patients (48%) had endometrial thickness ≤ 4 mm followed by 19% who had 11-15 mm, 14% had 5-10 mm, 10% had ˃20 mm and 9% had 16-20 mm endometrial thickness. Histopathologically, 48% had atrophy, 16% had endometrial hyperplasia, 12% each had proliferative and endometrial carcinoma, 9% had endometrial polyp while 3% had endometritis.

CONCLUSION

A conservative approach may be offered to women with post-menopausal bleeding showing endometrial thickness of <4 mm, thereby avoiding the need for curettage in large number of women.

KEYWORDS

Postmenopausal Bleeding, Transvaginal Sonography, Endometrial Thickness, Histopathology, Dilatation and Curettage.