Role of transvaginal ultrasonography and colour Doppler in the evaluation of postmenopausal bleeding

Aim of the workThe aim of this study is to evaluate the role of transvaginal ultrasonography and colour Doppler in postmenopausal bleeding.Patients and methodsIn the study fifty female patients with their age ranging between 45 and 80 years were subjected to transvaginal US examination and transvaginal colour and pulsed Doppler examination.ResultsAll the malignant cases and 94.7% of the benign cases had endometrial thickness ⩾5 mm, however 90% of the control group with the remaining of the benign cases (5.2%) had endometrial thickness <5 mm. The mean uterine artery RI and PI were lower in cases with PMB than in control cases and in cases with malignant causes than benign causes. The mean spiral artery RI & PI were lower in cases with benign than in cases with malignant causes of PMB.ConclusionIn conclusion, transvaginal colour Doppler as a noninvasive method has a significant place in the diagnostic procedures for evaluation of PMB. Transvaginal colour Doppler can help in differentiating benign from malignant endometrial changes.