Journal of International Obstetrics and Gynecology ›› 2021, Vol. 48 ›› Issue (3): 295-299.doi: 10.12280/gjfckx.20200624

• Gynecological Disease & Related Research Review • Previous Articles     Next Articles

Transvaginal Ultrasound Diagnosis in Endometrial Thickening of Postmenopausal Women

JU Rui, RUAN Xiang-yan(), XIN De-mei, ZHAO Gui-jun   

  1. Department of Gynecological Endocrinology, Beijing Obstetrics and Gynecology Hospital, Capital Medical University, Beijing 100026, China (JU Rui, RUAN Xiang-yan); Department of Obstetrics and Gynecology, Beijing ChuiYangLiu Hospital, Beijing 100022, China (XIN De-mei, ZHAO Gui-jun)
  • Received:2020-07-14 Published:2021-06-15 Online:2021-06-25
  • Contact: RUAN Xiang-yan E-mail:ruanxiangyan@ccmu.edu.cn

Abstract:

Thickened endometrium in postmenopausal women has been got more and more attention due to the improvement of the awareness in health-related quality of life in Chinese women. Endometrial cancer is one of the most common type of gynecologic cancer. Vaginal bleeding and thickened endometrium are common manifestations in postmenopausal women with endometrial carcinoma. Transvaginal ultrasonography usually is a first approach for an initial evaluation for endometrial cancer in postmenopausal women with thickened endometrium. The relationship between thickness endometrium and endometrial cancer in asymptomatic postmenopausal women is unclear. It should be applicable that make an individually assessment for the risk of endometrial cancer according to the existence of high-risk factors in asymptomatic postmenopausal women with thickened endometrium. Proper evaluation of endometrial diseases is not only of great significance for early diagnosis and treatment of endometrial cancer in postmenopausal women, but also can avoid unnecessary worry about endometrial cancer and reduce excessive invasive diagnosis and treatment. In this article, we had reviewed the characteristics of endometrial diseases and the evaluation of endometrial thickening by transvaginal ultrasound in postmenopausal women.

Key words: Postmenopause, Endometrium, Ultrasonography, Hysteroscopy, Uterine hemorrhage, Pathology