Ali, A., El-Fayomy, A., Hamed, B., Abd El Salam, S. (2021). Ovarian Volume Measurement by Transvaginal Ultrasonography in Women with Postmenopausal Bleeding and Thickened Endometrium. The Egyptian Journal of Hospital Medicine, 83(1), 869-875. doi: 10.21608/ejhm.2021.156915
Ali El-Shabrawy Ali; Amr Kamel El-Fayomy; Bassem Mohamed Hamed; Samah Taha Abd El Rahman Abd El Salam. "Ovarian Volume Measurement by Transvaginal Ultrasonography in Women with Postmenopausal Bleeding and Thickened Endometrium". The Egyptian Journal of Hospital Medicine, 83, 1, 2021, 869-875. doi: 10.21608/ejhm.2021.156915
Ali, A., El-Fayomy, A., Hamed, B., Abd El Salam, S. (2021). 'Ovarian Volume Measurement by Transvaginal Ultrasonography in Women with Postmenopausal Bleeding and Thickened Endometrium', The Egyptian Journal of Hospital Medicine, 83(1), pp. 869-875. doi: 10.21608/ejhm.2021.156915
Ali, A., El-Fayomy, A., Hamed, B., Abd El Salam, S. Ovarian Volume Measurement by Transvaginal Ultrasonography in Women with Postmenopausal Bleeding and Thickened Endometrium. The Egyptian Journal of Hospital Medicine, 2021; 83(1): 869-875. doi: 10.21608/ejhm.2021.156915
Ovarian Volume Measurement by Transvaginal Ultrasonography in Women with Postmenopausal Bleeding and Thickened Endometrium
Department of Obstetrics and Gynecology, Faculty of Medicine, Zagazig University, Egypt.
Abstract
Background: Postmenopausal bleeding (PMB) is one of the most common reasons for referral to gynecology services. This is due to the concern of possible underlying malignancy, as approximately 10% of women with PMB will have endometrial carcinoma. Objective: Early diagnosis of endometrial changes in women with postmenopausal bleeding and thickened endometrium. Patients and Methods: A cross sectional study was conducted at Obstetrics and Gynecology Department, from December 2018 to January 2020 at Zagazig University Hospitals. The study included 56 women with post-menopausal bleeding and thickened endometrium (> 4 mm). They underwent vaginal sonography for endometrial thickness and ovarian volume measurement; endometrial sampling was done for definitive histologic diagnosis. Results: There was statistically significant difference between normal, over weight and obese females as regards mean ovarian volume and endometrial thickness (p = 0.001and p = 0.01) respectively. Where, over weight and obese females had large mean ovarian volume (median = 1.80 and 2.350) respectively and larger endometrial thickness (median = 9.0 and 14.0) respectively compared to normal ones. We found that 51% of studied females were having hyperplasic lesions followed by 37.3% of them were having benign lesions then 11.8% of them were having malignant lesions. Conclusions: That enlarged ovaries in women with postmenopausal bleeding and thickened endometrium are associated with endometrial adenocarcinoma risk. Whereas obesity represents a marker of risk for that endometrial change.
View on SCiNiTO
Top