Response to Mahajan et al.: Endometrial thickness screening in premenopausal women with abnormal uterine bleeding

Abstract

We would like to response Dr Mahajan et al. with the following: We agree that endometrial biopsy is as effective as dilatation and curettage (D&C) for evaluating the endometrium for bleeding problems. In our institute both methods are preferred. We selected D&C as the standard tool in the methodology to ensure that endometrial sampling in all cases was performed successfully and adequately to represent the whole endometrium as much as possible. We do not have data on the incidence of abnormal endometrium sonographic texture in our study. Usually the irregular midline endometrial echo or the heteroechogenic pattern of the endometrium is considered to be abnormal. However conventional or plain transvaginal sonography (TVS) alone might not be adequate for uterine bleeding triage. Saline hysterosonography is superior to TVS in this case. All of the patients in our study had irregular uterine bleeding patterns. We could not identify their exact menstrual phases. We performed curettage shortly after a diagnosis was made of abnormal uterine bleeding. None of the women in our study had received any previous hormonal treatment. Thank you very much for your interest in our study. (full text)