Transvaginal Ultrasound in Women With Abnormal Uterine Bleeding

Role of Transvaginal Ultrasonography in Evaluating Premenopausal Women Aged More Than 35 Years With Abnormal Uterine Bleeding

The objective of this study is to investigate the role of transvaginal ultrasound in detecting endometrial hyperplasia and endometrial cancer in women aged more than 35 presenting with abnormal uterine bleeding.

Inclusion Criteria:

• Premenopausal women aged over than 35
• Abnormal uterine bleeding (menorrhagia/menometrorrhagia/metrorrhagia)
• Accept transvaginal examination (pelvic examination and ultrasound)
• Informed consent

Exclusion Criteria:

• Severe uterine bleeding resulting in unstable vital signs
• Pregnancy
• Current medications: anticoagulants, selective serotonin reuptake inhibitor (SSRI), antipsychotics, corticosteroids, hormones, herbs
• Intrauterine device
• Genital tract pathologies: infection, submucous myoma distorting uterine cavity
• Systemic diseases that may cause coagulopathies: Thyroid disease, liver disease, pituitary/ hypothalamus diseases
• Not able to retrieve endometrial tissue