THE EFFICACY OF TRANSVAGINAL ULTRASOUND IN ASSESMENT OF ABNORMAL UTERINE BLEEDING IN FERTILE EGYPTIAN WOMEN

Document Type : Preliminary preprint short reports of original research

Authors

1 Radiology department Alexandria university

2 Radiodiagnosis, Faculty of Medicine , Alexandria University , Alexandria , Egypt

3 Department of Obstetrics and Gynecology, Alexandria Faculty of Medicine, Alexandria University

4 Department of Radiodiagnosis and Intervention, Faculty of Medicine, University of Alexandria

Abstract

Introduction:
Abnormal uterine bleeding is any significant deviation from a woman’s established menstrual pattern including menorrhagia, metrorrhagia, and polymenorrhea. Abnormal uterine bleeding (AUB) is a common complaint in the female population, with an estimated prevalence of 10 to 30% in fertile age. Trans vaginal ultras onography (TVUS) has been used as an initial diagnostic tool in AUB, because it proved safe and cost-effective, generally painless and virtually complication free. Compared with appropriate gold standards including histopathology, the sensitivity and specificity of sonography support its use. TVUS plays a key role in the diagnosis of structural causes of AUB such as polyps, adenomyosis, leiomyoma and endometrial cancer (PALM) and can also be used for the evaluation of nonstructural causes such as ovulatory dysfunction. In fact, American college of obstetricians and gynecologists describes TVUS as the ‘‘primary imaging test of the uterus for the evaluation of abnormal uterine bleeding.’’

Aim of the Work:
The aim of this study was to evaluate the efficacy of trans vaginal ultrasound in assessment of abnormal uterine bleeding in fertile Egyptian patients.

Keywords