Use of transvaginal sonography in evaluation of endometrial abnormalities

One hundred and forty six woman with a post-menopausal vaginal bleeding wer e evaluated using transvaginal ultrasound followed by fractional curettages . By pathohystological findings 16 patients (10,9%) had hyperplasia of endo metrium, 31 (21,2%) had carcinoma of endometrium, 41 (28,0%) endometrial at rophy, 19 (13,1%) endometral polyps and other 39 (26,7%), endometrium in pr oliferation-or secretion fase. Sonographic findings show a mean endometrial thickness of 5,7 mm with endometrial atrophy, 14,3 mm inpatients with hype rplasia, 15,4 mm in patients with endometrial carcinoma, and 12,5 mm in pat ients with endometrial polyps. If the limit cut off, of 6 mm of endometrial thickeness had been used, 29,5% of curettages could be avoided.