TO EVALUATE THE SENSITIVITY OF TVS IN PREDICTING ENDOMETRIAL PATHOLOGY

Abstract

Background: To evaluated the sensitivity of TVS in predicting endometrial pathology

Methods: This is a descriptive type of observational study conducted among women with Postmenopausal Bleeding who attended the Gynaecology OPD SMS Medical College Jaipur. 60 Postmenopausal patients were included in this study. After fulfilling the inclusion crtieria a detailed history and clinical examination was done as per Proforma, followed by investigations.

Results: In majority of patients histopathlogy is found as atrophic endometrium i.e. 23 cases, out of which majority of patients had endometrial thickness < 4 mm on TVS. After that endometrial hyperplasia is found in 14 patients. On TVS majority of these cases had ET > 4 mm  i.e. 11 cases but 3 cases of endometrial hyperplasia had ET < 4 MM, these 3 cases were likely to be missed at a cut off of 4 mm of endometrial thickness on TVS. Endomatrial polyp had ET > 6 mm on TVS.

Conclusion: Transvaginal sonography is safe, simple, non invasive and cost effective in the diagnosis of endometrial disease.

Keywords: TVS, Endometrial, Hyperplasia.