A prospective comparison of transvaginal ultrasonography and diagnostic hysteroscopy in the evaluation of patients with abnormal uterine bleeding: clinical implications

Article Abstract:

Transvaginal ultrasonography appears to accurately screen women with abnormal uterine bleeding, thus reducing the need for additional diagnostic procedures. A group of 260 menstruating and menopausal women with abnormal bleeding underwent transvaginal ultrasound followed by endoscopic examination of the uterine lining. Endoscopy was used for comparison instead of the traditional examination of curettage or biopsy specimens because studies have shown that these often miss abnormalities. The ultrasound scan correctly identified abnormalities of the uterine lining 96% of the time and correctly identified women free of uterine lining pathology 89% of the time, compared with findings on endoscopy. The need for endoscopic procedures could be cut in half if transvaginal ultrasound were used as a first step in diagnosing the source of abnormal uterine bleeding.

---

Comparison of saline infusion sonography with office hysteroscopy for the evaluation of the endometrium

Article Abstract:

Transvaginal ultrasound examination combined with infusion of saline into the uterus may be an effective and less painful procedure than hysteroscopy for determining the cause of abnormal uterine bleeding. Hysteroscopy involves the use of medical instruments to allow visualization of the uterus. Researchers performed both saline infusion sonography (SIS) and hysteroscopy on 113 women with abnormal uterine bleeding. SIS was better at detecting abnormal growth of the uterine wall than was hysteroscopy, and SIS detected early uterine cancer in a 47-year-old patient. The addition of SIS to transvaginal ultrasonography may enable better evaluation of patients with uterine fibroids or with longitudinally positioned uteri.

Medical examination, Endometrium, Injections, Saline, Saline injections

---

Office hysteroscopy versus transvaginal ultrasonography in the evaluation of patients with excessive uterine bleeding

Article Abstract:

Hysteroscopy performed in an office setting may be more effective than transvaginal ultrasound in diagnosing the source of excessive bleeding in the uterus. Hysteroscopy involves the use of a hysteroscope to visualize the inside of the uterus. Researchers performed hysteroscopies in a doctor's office on 149 patients with excessive uterine bleeding. Transvaginal ultrasonography was also conducted for most patients. Office hysteroscopy correctly detected the source of bleeding 79% of the time, while ultrasound detected the source in 54% of the patients. Hysteroscopy was more specific than ultrasound in ruling out incorrect diagnoses.

Ultrasound imaging, Transcript

Similar abstracts:

• Abstracts: Comparison of an anti-inflammatory dose of ibuprofen, an analgesic dose of ibuprofen, and acetaminophen in the treatment of patients with osteoarthritis of the knee
• Abstracts: Targeted disruption of AdipoR1 and AdipoR2 causes abrogation of adiponectin binding and metabolic actions. TFE3 transcriptionally activates hepatic IRS-2, participates in insulin signaling and ameliorates diabetes
• Abstracts: Assessing, diagnosing and managing neuropathic pain. The assessment and treatment of patients with chronic pain
• Abstracts: Neonatal mortality and morbidity rates in term twins with advancing gestational age. Comparison of maternal mortality and morbidity between trial of labor and elective cesarean section among women with previous cesarean delivery
• Abstracts: Specific immune response against Gardnerella vaginalis hemolysin in patients with bacterial vaginosis. Neighborhood context and reproductive health

This website is not affiliated with document authors or copyright owners. This page is provided for informational purposes only. Unintentional errors are possible.