Correlation of ultrasound findings and endometrial histopathology in women with abnormal uterine bleeding

ABSTRACT

30 patients with abnormal uterine bleeding were chosen from the gynecology clinic for the study. Their age ranged from 26-60 years [10 in the childbearing period and 20 in the postmenopausal period], they were investigated with ultrasound to the pelvic organs especially the thickness of the uterine mucosa, and an endometrial biopsy was taken under general anaesthesia for histological examination. The sonographic data and histopathological results were correlated with each other and were statistically analysed. Ultrasonography is a good method for diagnosing any gynecological pathology as a cause for the abnormal uterine bleeding also it is a good method for screening of uterine neoplasm in presymptomatic postmenopausal women. An endometrial thickness of 5mm is an appropriate cut off level for conservative management of patients with post menopausal bleeding not receiving hormonal treatment, also in screening for endometrial carcinoma. An endometrial thickness of 10mm. or more in the childbearing period as measured by ultrasonography must be considered for further histopathological examination