The Relationship between Transvaginal Ultrasound Endometrial Thickness and Body Mass Index and Endometrial Pathology in Women with Postmenopausal Bleeding
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- Category: Vol. 85, September 2017
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The Relationship between Transvaginal Ultrasound Endometrial Thickness and Body Mass Index and Endometrial Pathology in Women with Postmenopausal Bleeding, AHMED S.A. ASHOUR, TAREK FAWZY and MOHAMMED FAISAL
Abstract
Objective: To explore the relationship between obesity (expressed by increased BMI) and ultrasonographic endome-trial thickness measurement and their correlation to endometrial pathology in women with postmenopausal bleeding.
Design: Prospective cohort study. Setting: Kasr El-Aini Hospital.
Patients and Methods: 100 cases, recruited from the Outpatient Gynecology Clinic, Kasr Al-Ainy Hospital, were included in the study. All cases presented with postmenopausal bleeding and all were subjected to measurement of Body Mass Index (BMI) and 2-dimensional transvaginal ultrasonographic evaluation of the endometrium, and the results were correlated to the histopathological picture of the endometrium.
Results: The age ranged between 46-75 years, with the mean 52.7±5.7 years, parity ranged from nullipara to 12, with the mean 4.91±2.2 and BMI ranged between 25-56 with the mean 37.7±6.9 and endometrium thickness ranged between 5mm-50mm. With the mean 13±6.8. The most common en-dometrial histopathology was endometrial hyperplasia (70 cases, 70%) then disordered proliferative endometrium (22 cases, 22%) then atrophic endometrium (4 cases, 4%) and endometrial carcinoma (4 cases, 4%). It was found that patients with endometrial carcinoma had higher BMI and endometrial thickness than patients with benign endometrial pathology (atrophic disordered proliferative, hyperplasia without atypia).
Conclusion: Screening for endometrial cancer is not recommended for the general population, although in high-risk populations like obese postmenopausal women, it is very important. Transvaginal ultrasonography is an excellent first step diagnostic method of excluding the endometrial abnor-malities in women with postmenopausal bleeding.