PMID: 16094213

Issn Print: 0361-1817

Publication Date: 2005/08/01


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Accurate Diagnosis of Postmenopausal Bleeding

Sheila F. Mahoney; Alicia Armstrong

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Excerpt

Although postmenopausal bleeding (PMB) accounts for only 5% of all gynecologic office visits, its evaluation is a source of consternation for many providers. 1 The top three diagnoses associated with PMB are endometrial atrophy (40% to 50%), endometrial cancer (10%), and polyps (3%). 2 Because 90% of PMB is associated with a benign condition, the ideal diagnostic method is noninvasive. This reduces individual risk and increases accurate diagnosis of malignancy.
Previously, the available diagnostic methods for evaluation of PMB were endometrial biopsy (EMB), dilation and curettage (D & C), or hysteroscopy. These methods are all invasive or surgical in nature. Ultrasonography is nonsurgical and a relatively noninvasive diagnostic method for evaluation of PMB, and its use is now widespread.
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