Role of Transvaginal Ultrasound in Management of Abnormal Uterine Bleeding

Din Muhammad Sohu, Bhagwan Das, Muhammad Rashid Rasul, Imran Khan Memon, Inayat Ullah, Rabia Hafeez
In: Pakistan Journal of Medical and Health Sciences · 2022 · vol. 16(5) , pp. 127–128 · doi:10.53350/pjmhs22165127 · W4281704243
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⚙ AI-generated summary by qwen3.7-flash, 2026-08-29 ⓘ

This prospective study evaluated transvaginal ultrasound for abnormal uterine bleeding, finding it efficiently diagnosed leiomyoma, polyps, adenomyosis, and endometrial adenocarcinoma with high sensitivity.

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This prospective study evaluated the diagnostic utility of transvaginal ultrasound in managing abnormal uterine bleeding among one hundred patients at a medical college hospital in Sukkur. The research recorded clinical and demographic data while analyzing sonographic results to identify underlying causes such as leiomyoma, polyps, adenomyosis, and endometrial adenocarcinoma. Key findings indicated that transvaginal ultrasound demonstrated high sensitivity for detecting both leiomyomas and endometrial adenocarcinoma, establishing it as an efficient management tool for these conditions. Relevance to endometriosis: Adenomyosis is listed as a diagnosed condition within the study population, accounting for 12% of cases, though the paper’s primary focus remains on general abnormal uterine bleeding rather than endometriosis specifically.

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Abstract

Aim: To evaluate the transvaginal ultrasound in management of abnormal uterine bleeding. Place and duration of study: Department of Radiology, Ghulam Muhammad Mahar Medical College Hospital Sukkur from 1st July 2021 to 31st December 2021. Methodology: In this prospective study one hundred patients were enrolled. The patients were scrutinized on bases of their abnormal uterine bleeding and underwent transvaginal ultrasound. The clinical and demographic information was recorded and the sonographic results were evaluated. Results: There was no significant difference of age with the number of their births. Menorrhagia was observed in 13% while 57(57%) had metrorrhagia and 30% were having menometrorrhagia. The abnormal uterine bleeding diagnosis was made and it was seen that 61% leiomyoma, 22% polyp, 12% adenomyosis and 5% endometrial adenocarcinoma cases were presented respectively. Within these cases endometrial adenocarcinoma had transvaginal scan sensitivity of 100% followed by leiomyoma as 93% transvaginal scan sensitivity in cases. Conclusion: Transvaginal ultrasound is an efficient way of managing abnormal uterine bleeding. Keywords: Uterine bleeding, Transvaginal, Ultrasonography
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Results

There was no significant difference of age with the number of their births. Menorrhagia was observed in 13% while 57(57%) had metrorrhagia and 30% were having menometrorrhagia. The abnormal uterine bleeding diagnosis was made and it was seen that 61% leiomyoma, 22% polyp, 12% adenomyosis and 5% endometrial adenocarcinoma cases were presented respectively. Within these cases endometrial adenocarcinoma had transvaginal scan sensitivity of 100% followed by leiomyoma as 93% transvaginal scan sensitivity in cases.

Conclusion

Transvaginal ultrasound is an efficient way of managing abnormal uterine bleeding.

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