Abstract
To compare the efficiency of transvaginal sonography and outpatient hysteroscopy in the diagnosis of intrauterine pathology in postmenopausal women. Two-hundred and forty-three postmenopausal women were selected. All women had undergone outpatient hysteroscopy in the year 2006. These women were referred from the Basic Healthcare Units in Campinas, where they underwent ultrasonography for the evaluation of the endometrial cavity. The mean age of these women was 61+/-9.4 years. These women were menopausal for 11+/-8.3 years.. We observed 6.6% cases of endometrial hyperplasia and cancer. The ultrasonography had a sensitivity of 95.6%, a specificity of 7.4%, a positive predictive value of 53.3% and a negative predictive value of 60%, while the hysteroscopy had 95.7%, 83%, 82.2% and 95.9% respectively. Hysteroscopy was a more accurate method for the detection of intrauterine pathology than ultrasonography.
Highlights
Transvaginal ultrasound has proved to be a non-invasive method, with good accuracy in the diagnosis of endometrial abnormalities in postmenopausal women.[1]
There is a range of complementary tests, such as endometrium biopsy, curettage and diagnostic hysteroscopy.[7]
The present study aims to evaluate, in postmenopausal women, the effectiveness of transvaginal ultrasound compared to outpatient hysteroscopy in diagnosis of these diseases in order to provide earlier treatment for patients
Summary
Transvaginal ultrasound has proved to be a non-invasive method, with good accuracy in the diagnosis of endometrial abnormalities in postmenopausal women.[1]. Vaginal bleeding is a common symptom in women with endometrial cancer. This is one of the main reasons for women to visit a gynecologist, its most frequent causes are endometrial atrophy and benign endometrial lesions, and only 7% to 10% of cases are caused by endometrial carcinoma.[4,5,6]. When diagnosing any alteration in the endometrial cavity, physicians must continue physical examination until they are able to rule out the diagnosis, ensuring benignity. For this purpose, there is a range of complementary tests, such as endometrium biopsy, curettage and diagnostic hysteroscopy.[7]
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