Transvaginal Ultrasonography Is the Diagnostic Method for Evaluation of Abnormal Uterine Bleeding

Kulsum Haq, Shabnom Ferdous Chowdhury, Maksuda Mannan, Rokshana Ivy, Khandakar Shehneela Tasnim
In: Journal of Shaheed Suhrawardy Medical College · 2012 · vol. 2(1) , pp. 10–12 · doi:10.3329/jssmc.v2i1.12344 · W4247366863
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Transvaginal ultrasonography demonstrated high diagnostic accuracy for identifying uterine pathologies causing abnormal uterine bleeding, including adenomyosis, leiomyoma, and endometrial carcinoma.

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This study evaluated the diagnostic utility of transvaginal ultrasonography for patients presenting with abnormal uterine bleeding by comparing sonographic findings against histopathology results. The research analyzed fifty patients, identifying leiomyoma as the most frequent cause detected via ultrasound, followed by dysfunctional uterine bleeding and adenomyosis. The authors reported that transvaginal sonography demonstrated high sensitivity, specificity, and overall accuracy in diagnosing the underlying uterine pathology responsible for the bleeding symptoms. Relevance to endometriosis: adenomyosis is listed as one of the identified causes of abnormal uterine bleeding, though the paper's primary focus remains on the general diagnostic performance of ultrasonography rather than a detailed analysis of endometriosis or adenomyosis pathophysiology.

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Abstract

Objective: The objective of this study is to assess the utility of transvaginal iiltrasonography in patients presenting abnormal uterine bleeding. Materials and methods: Between July 2000 to December 2000, 50 patients underwent transvaginal sonography (TVS) for abnormal uterine bleeding. All patients had transvaginal sonography before histopathology. On TVS, the sonographic appearance of the endometrium was classified according to the following parameters: normal or abnormal thickness, homogeneous or heterogeneous echogenicity, bulbous contour, discontinuous, or obscured. A comparison was performed between TVS with histopathology. Results: The most common causes for the abnormal uterine bleeding were leiomvoma in TVS (42.0%). Other causes were dysfunctional uterine bleeding (28.0%), adenomyosis (6.0%). endometrialpolyp (4.0%), thin atrophic endometrium (8.0%), endometrial hyperplasia (8.0%). and endometrial carcinoma (4.0%). After histopathologic evaluation 40.0% patients had leiomvoma, 24.0% DUB, 10.0% adenomyosis, 8.0% endometrial polyp, 8.0% thin atrophic endometrium, 6.0% endometrial carcinoma and 4.0% endometrial hvperplasia. Comparing the TVS with histopathologic findings, TVS had a sensitivity of 94.3%, specificity of 80.0%, accuracy of 90.0%, PPVof91.6% andNPVof 85.7%. Conclusion: TVS is an easy, safe, rapid and tolerable procedure. It has an excellent diagnostic accuracy in the diagnosis of uterine pathology responsible for abnormal uterine bleeding. Abbreviation: TVS transvaginal sonographv; AUB abnormal uterine bleeding; DUB dysfunctional uterine bleeding, PPV positive predictive value, NPV Negative predictive value. Journal of Shaheed Suhrawardy Medical College Vol 2No.1 June 2010 page 10-12 DOI: http://dx.doi.org/10.3329/jssmc.v2i1.12344
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Keywords

Transvaginal sonography, endometriumAbstract

Objective

The objective of this study is to assess the utility of transvaginal iiltrasonography in patients presenting abnormal uterine bleeding.

Materials and methods

Between July 2000 to December 2000, 50 patients underwent transvaginal sonography (TVS) for abnormal uterine bleeding. All patients had transvaginal sonography before histopathology. On TVS, the sonographic appearance of the endometrium was classified according to the following parameters: normal or abnormal thickness, homogeneous or heterogeneous echogenicity, bulbous contour, discontinuous, or obscured. A comparison was performed between TVS with histopathology.

Results

The most common causes for the abnormal uterine bleeding were leiomvoma in TVS (42.0%). Other causes were dysfunctional uterine bleeding (28.0%), adenomyosis (6.0%). endometrialpolyp (4.0%), thin atrophic endometrium (8.0%), endometrial hyperplasia (8.0%). and endometrial carcinoma (4.0%). After histopathologic evaluation 40.0% patients had leiomvoma, 24.0% DUB, 10.0% adenomyosis, 8.0% endometrial polyp, 8.0% thin atrophic endometrium, 6.0% endometrial carcinoma and 4.0% endometrial hvperplasia. Comparing the TVS with histopathologic findings, TVS had a sensitivity of 94.3%, specificity of 80.0%, accuracy of 90.0%, PPVof91.6% andNPVof 85.7%.

Conclusion

TVS is an easy, safe, rapid and tolerable procedure. It has an excellent diagnostic accuracy in the diagnosis of uterine pathology responsible for abnormal uterine bleeding. Abbreviation: TVS transvaginal sonographv; AUB abnormal uterine bleeding; DUB dysfunctional uterine bleeding, PPV positive predictive value, NPV Negative predictive value. Journal of Shaheed Suhrawardy Medical College Vol 2No.1 June 2010 page 10-12 DOI: http://dx.doi.org/10.3329/jssmc.v2i1.12344359 413

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