[Diagnostic value of endometrial assessment by transvaginal ultrasonography in patients with postmenopausal bleeding].

OBJECTIVE: To assess the value of endometrial transvaginal sonography in diagnosis of patients with postmenopausal bleeding. METHODS: High resolution transvaginal ultrasonographic examination was performed in 192 patients with postmenopausal bleeding before fractional uterine curettage. The results of endometrial sonogram were compared with endometrial histological findings. RESULTS: Seventy-seven cases had endometrial thickness or = 5mm, 59 (51.3%) had endometrial cancer. CONCLUSION: Transvaginal ultrasonography may be used as a screening procedure in patients with postmenopausal bleeding. Diagnostic uterine curettage may be avoided in patients who had endometrial thickness < or = 4mm.