Abstract
Postmenopausal endometrium has fascinated all of us gynecologists. The investigation of it has for long been the fractional curettage which has been accepted as the gold standard. Newer less invasive methods like transvaginal ultrasound and hysteroscopy have now been accepted. We compared all these three modalities to see the sensitivity, specificity, positive and negative predictive values. We found that transvaginal ultrasound could be used as the primary modality of study with Hysteroscopic directed biopsy as the next investigation.
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