Transvaginal ultrasonography and hysteroscopy as predictors of endometrial polyps in postmenopause

• Autor(a) principal: Godoy Borges, Pitia Carita de [UNESP]
• Data de Publicação: 2015
• Outros Autores: Dias, Rogerio [UNESP], Machado, Rogerio Bonassi, Ramos Borges, Joao Bosco, Dias, Daniel Spadoto [UNESP]
• Tipo de documento: Artigo
• Idioma: eng
• Título da fonte: Repositório Institucional da UNESP
• Texto Completo: http://dx.doi.org/10.2217/WHE.14.50; http://hdl.handle.net/11449/160604
• topic: endometrial polyp; endometrial thickening; hysteroscopy; menopause; transvaginal ultrasonography

The study compared ultrasound and ambulatorial hysteroscopy as diagnostic methods detecting endometrial polyps in postmenopause women. 281 women aged 41-82 years who underwent ambulatorial hysteroscopy were analyzed for presence of uterine bleeding and/or altered transvaginal ultrasound (endometrial thickness >= 5 mm). Ultrasonography detected endometrial polyps in 22.8% of patients and endometrial thickening in the other 59.8%. Hysteroscopy diagnosed endometrial polyps in 80.8%. Ultrasonography showed sensitivity of 88.7%, specificity of 25.4%, positive predictive value of 81.7%, negative predictive value of 37.5% and accuracy of 75.4% in diagnosing endometrial polyps. Hysteroscopy showed 96.4% sensitivity, 74.6% specificity, 93.4% positive predictive value, 84.6% negative predictive value and 91.8% accuracy. Hysteroscopy demonstrated more accuracy than ultrasonography, which is not sufficient for accurate diagnosis.