A Study of Transvaginal Ultrasonography in diagnosis of Endometrial Pathology in abnormal Uterine Bleeding

Syeda Ali, Faryal Akhtar, Maham Munir Awan, Mustafa Ali Siddiqui, Hammad Ahmad Saqib, Mahwish Zahra, M.M. Khan
In: Pakistan Journal of Medical and Health Sciences · 2023 · vol. 17(1) , pp. 275–276 · doi:10.53350/pjmhs2023171275 · W4322012452
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Transvaginal ultrasonography effectively diagnosed endometrial pathologies like polyps, myomas, and hyperplasia in women with abnormal uterine bleeding.

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This descriptive study evaluated transvaginal ultrasonography (TVS) for identifying endometrial pathology in 80 women diagnosed with abnormal uterine bleeding, recruited from July 2021 to July 2022. Each participant underwent TVS assessing endometrial thickness and echogenicity, uterine size, and any uterine or adnexal abnormalities. TVS found normal proliferative endometrium in 32.5% of cases and reported endometrial polyps (27.5%), myomas (15.0%), endometrial hyperplasia (15.0%), endometrial atrophy (6.25%), and suspicious-looking endometrium (3.75%). The paper concludes TVS is a safe, rapid, cost-effective modality for diagnosis of endometrial pathologies, and it does not explicitly state a limitation such as comparison to a reference standard. Relevance to endometriosis: it does not explicitly discuss endometriosis or adenomyosis; it was included in the corpus via keyword match in the upstream search index.

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Abstract

Objective: To evaluate the utility of transvaginal ultrasonography (TVS) in assessing the pathologic causes of Abnormal Uterine Bleeding (AUB). Methodology: The descriptive study was conducted in Gynecology Unit Nishtar Hospital Multan from July-2021 to July-2022. A total of 80 women with diagnosis of AUB were recruited. Every patient with an AUB underwent TVS. The thickness of the endometrium, its echogenicity, the size of the uterus, and any uterine or adnexal abnormality observed. Results: Mean age was 46.16±9.50 years with range 25-60 years. Regarding menopausal status, 35 (43.75%) females were pre-menopausal and 45 (56.25%) were post-menopausal.On TVS findings, normal proliferative endometrium was found in 26 (32.5%) cases, endometrial polyps in 22 (27.5%) cases,myomas in 12 (15.0%) cases, hyperplasia in 12 (15.0%) cases, endometrial atrophy in 5 (6.25%) cases, and suspicious looking endometrium in 3 (3.75%) cases. Practical Implications: The study is very useful, knowledgeable, cost efficient and cost effective. Conclusion: TVS is a safe, rapid and cost-effective modality for the diagnosis of endometrial pathologies. Endometrial polyps, myomas and hyperplasia are common cause of AUB. Keywords: Transvaginal ultrasonography, abnormal uterine bleeding, polyps.
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Objective

To evaluate the utility of transvaginal ultrasonography (TVS) in assessing the pathologic causes of Abnormal Uterine Bleeding (AUB). Methodology: The descriptive study was conducted in Gynecology Unit Nishtar Hospital Multan from July-2021 to July-2022. A total of 80 women with diagnosis of AUB were recruited. Every patient with an AUB underwent TVS. The thickness of the endometrium, its echogenicity, the size of the uterus, and any uterine or adnexal abnormality observed.

Results

Mean age was 46.16±9.50 years with range 25-60 years. Regarding menopausal status, 35 (43.75%) females were pre-menopausal and 45 (56.25%) were post-menopausal.On TVS findings, normal proliferative endometrium was found in 26 (32.5%) cases, endometrial polyps in 22 (27.5%) cases,myomas in 12 (15.0%) cases, hyperplasia in 12 (15.0%) cases, endometrial atrophy in 5 (6.25%) cases, and suspicious looking endometrium in 3 (3.75%) cases. Practical Implications: The study is very useful, knowledgeable, cost efficient and cost effective.

Conclusion

TVS is a safe, rapid and cost-effective modality for the diagnosis of endometrial pathologies. Endometrial polyps, myomas and hyperplasia are common cause of AUB.

Keywords

Transvaginal ultrasonography, abnormal uterine bleeding, polyps.

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