Transabdominal and transvaginal ultrasonographic evaluation in the measurement of endometrial thickness in patients with abnormal uterine bleeding

Abstract

Background: Abnormal uterine bleeding is a common complaint in women of all ages for which they consult their gynecologist and is the direct cause of a significant health-care burden for women. It affects 10%–30% of reproductive age women and 50% of perimenopausal women. The most probable etiology of abnormal uterine bleeding relates to the patients' reproductive age, as does the likelihood of serious endometrial pathology. Imaging plays a pivotal role in resolving these common complaints in practice. Study Design: This study is of 50 women presenting/referred with abnormal uterine bleeding in the department of radiodiagnosis of our hospital. They underwent both transabdominal and transvaginal ultrasonography for the evaluation of endometrial thickness and also to look for the presence of other pelvic pathologies. Results and Conclusion: In our study of 50 patients, transabdominal and transvaginal ultrasonography did not yield a significant difference in the measurement of endometrial thickness. However, both had a complimentary role in better diagnosing pelvic pathologies and eliminating the use of invasive procedures for diagnosing cases of abnormal uterine bleeding.