EVALUATION OF ENDOMETRIUM IN PERIMENOPAUSAL WOMEN WITH ABNORMAL UTERINE BLEEDING BY TRANSVAGINAL ULTRASONOGRAPHY

Dr. (prof.) Alka Agrawal, Dr Aakanksha Verma, Dr Piyush Dubey, Dr. Prem Siddharth Tripathi

Abstract


BACKGROUND AND PURPOSE: AUB accounts for more than 50% of all gynaecologists' consultation in the
perimenopausal years, causing burden on the quality of the woman's life. The aim of our study was to evaluate the
accuracy of TVS to diagnose endometrial pathology causing abnormal uterine bleeding in perimenopausal women with histopathological
correlation.
RESULTS:Total 100 perimenopausal women were included, the most common age-group was 48-51 years,51% patients presented with
menorrhagia. 79% patients were multiparous. 35% of patients had ET>16mm.On TVS, ET>8mm had significantly higher chance to be abnormal
histopathologically. 7% and 10%patients revealed endometrial malignancy on TVS and HPE respectively.The sensitivity, specificity, PPV, NPV
of TVS for benign lesions was 99%, 60%, 96% and 86% respectively and sensitivity, specificity, PPV, NPV of TVS for malignant lesion was 60%,
99%, 86% and 96% respectively.
CONCLUSION:Perimenopausal women with ET>8 mm on TVS, should undergo histopathological evaluation.


Keywords


AUB, TVS, Perimenopausal, Endometrial Thickness.

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References


Soules MR, Sherman S, Parrott E. Stages of reproductive aging workshop (STRAW). J. Womens Health, Gender Based Med. 2001;10:843-8.

Choudhary, Jaya et al. “Evaluation of abnormal uterine bleeding with transvaginal sonography and hysteroscopy in perimenopausal women.” (2017).

Shobhitha GLet al. Endometrial study by TVS and It’s correlation with histopathology in abnormal uterine bleeding. J Dental Med Sci. 2015;14(4):21-32.

Aliya Aslam, Gazala. Role of TVS in cases of abnormal uterine bleeding. Professional Med J. 2009;(16)1:127-34.

Machado LS et al.Correlation of ET, cycle day and histopathology in women with abnormal uterine bleeding. Saudi Med J. 2005;26(2):260-3.

Getpook C et al. ET screening in premenopausal women with abnormal uterine bleeding. Journal of Obstetrics and Gynaecology Research. 2006;32:588-92.

Reed SDet al. Incidence of endometrial hyperplasia. Am J Obstet Gynecol. 2009;200(6):678.e1–678.e6786. doi:10.1016/j.ajog.2009.02.032

Verma U et al. Diagnostic approach in perimenopausal women with abnormal uterine bleeding. J SAFOMS. 2014;2(1):12.

Mishra R et al. To compare the result of TVS and SIS with hysteroscopy and histopathological examination in perimenopausal and postmenopausal bleeding. J Evol Med Dental Sci. 2015;4(7):1230-7.


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