Comparative study of endometrial thickness with transabdominal ultrasonography and pelvis in perimenopausal women presenting with abnormal uterine bleeding and correlation with its histopathological findings

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dc.contributor.authorD., Ritaen_US
dc.contributor.authorA., Pallavi Sourya K.en_US
dc.contributor.authorA., Lathasrien_US
dc.date.accessioned2024-09-24T09:04:24Z
dc.date.available2024-09-24T09:04:24Z
dc.date.issued2023-07
dc.description.abstractBackground: Heavy menstrual bleeding is the most common presenting menstrual complaint in women of perimenopausal age group. Diagnostics tests to investigate the causes of abnormal bleeding are transabdominal ultrasonography (TAS), TVS, endometrial biopsy and uterine curettage which is invasive procedure performed under anesthesia. The objectives of this study were to correlate the transabdominal ultrasonography results with the histopathological findings to discriminate normal from pathological endometrium.Methods: Comparative study including 100 perimenopausal women with abnormal uterine bleeding. Endometrial thickness was measured by TAS and then D and C was performed for all the patients.Results: Out of 100 women, (86) had normal and (14) had an abnormal endometrium. 43 were of 41-45 years and 65 patients presented with complaint of heavy menstrual bleeding. Fibroid uterus (24%) was the commonest uterine pathology detected on TAS. 53 of patients had endometrial thickness in the range 10-11.9 mm. Most common finding on HPE was secretory endometrium (44). Endometrial carcinoma was found in 1. Endometrial thickness <12mm was associated with least abnormal endometrial pathology.Conclusions: Irrespective of endometrial thickness all perimenopausal women with HMB should be subjected to TAS followed by D and C which helps in early detection and missing out of endometrial carcinoma.en_US
dc.identifier.affiliationsDepartment of Obstetrics and Gynecology, NMCH and RC, Raichur, Karnataka, Indiaen_US
dc.identifier.affiliationsDepartment of Obstetrics and Gynecology, NMCH and RC, Raichur, Karnataka, Indiaen_US
dc.identifier.affiliationsDepartment of Obstetrics and Gynecology, NMCH and RC, Raichur, Karnataka, Indiaen_US
dc.identifier.citationD. Rita, A. Pallavi Sourya K., A. Lathasri . Comparative study of endometrial thickness with transabdominal ultrasonography and pelvis in perimenopausal women presenting with abnormal uterine bleeding and correlation with its histopathological findings . International Journal of Reproduction, Contraception, Obstetrics and Gynecology . 2023 Jul; 12(7): 2151-2155en_US
dc.identifier.issn2320-1770
dc.identifier.issn2320-1789
dc.identifier.placeIndiaen_US
dc.identifier.urihttps://imsear.searo.who.int/handle/123456789/232076
dc.languageenen_US
dc.publisherMedip Academyen_US
dc.relation.issuenumber7en_US
dc.relation.volume12en_US
dc.source.urihttps://doi.org/10.18203/2320-1770.ijrcog20231926en_US
dc.subjectHeavy menstural bleedingen_US
dc.subjectEndometrial thicknessen_US
dc.subjectPerimenopausalen_US
dc.subjectTransabdominal sonographyen_US
dc.subjectDilatation and curettageen_US
dc.titleComparative study of endometrial thickness with transabdominal ultrasonography and pelvis in perimenopausal women presenting with abnormal uterine bleeding and correlation with its histopathological findingsen_US
dc.typeJournal Articleen_US
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