Transvaginal Ultrasound Evaluation of Ovarian Volume in Postmenopausal Bleeding and Thickened Endometrium Women

Background:Postmenopausal bleeding is one of the most common reasons for referral to gynaecology services. This is due to the concern of possible underlying malignancy, as apprroxiately 10% of women with PMB will have endometrial carcinoma.The aim of the present study was to early diagnosis of endometrial changes in women with postmenopausal bleeding and thickened endometrium. Methods:A cross sectional study was conducted at Obstetrics and Gynecology Department, from December 2018 to January 2020 at Zagazig University Hospitals including 56 women with post-menopausal bleeding and thickened endometrium ( > 4mm) were evaluated. 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 regard 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 female 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.