Azra Hasaif, Safia Parveen, Hina Ilyas, Zareen Amjad, Maimoona Javaid, Muhammad Saleem Akhtar.
Diagnostic accuracy of transvaginal ultrasound in postmenopausal bleeding.
J Allama Iqbal Med Coll Jan ;19(4):808-12.

Objective: To determine the diagnostic accuracy of transvaginal ultrasonography in diagnosing the endometrial pathology in females presenting with postmenopausal bleeding. Methods: Females underwent transvaginal Ultrasonography and endometrial thickness was measured. Then these patients underwent endometrial biopsy through dilation and curettage (D & C) and sample was sent to hospital pathology laboratory for confirmation of endometrial carcinoma. All this information was recorded on Proforma. Results: In this study the mean age of all females was 58.42 ± 3.92 years with mean parity among the women was 4.90 ± 1.46. The average endometrial thickness was 6.33 ± 3.67 mm. The sensitivity and specificity of endometrial thickness (≥ 4mm) was 97.63% and 87.65% respectively. The positive, negative predictive value and accuracy of endometrial thickness (≥4mm) was 94.29%, 94.67% and 94.4% respectively. Conclusion: Transvaginal Ultrasonography is highly sensitive, specific and gave good diagnostic accuracy in our study. Being a non-invasive method for diagnosis of endometrial carcinoma in patients with abnormal uterine bleeding TVS should be used instead of invasive pathological procedure. Keywords: Transvaginal Sonography, Histopathology, Postmenopausal Bleeding, Endometrial Thickness

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