The role of Ultrasound in Evaluation of Postmenopausal Bleeding

Document Type : Original Article

Authors

Radiodiagnosis, Faculty of Medicine for Girls, Al-Azhar University, Cairo, Egypt

10.21608/aimj.2025.446599

Abstract

Background: Menopause is defined as the permanent cessation of menstruation. It is diagnosed retrospectively once menstruation has been absent for 12 consecutive months.
Aim:  To assess the role of high-resolution ultrasound in evaluating postmenopausal bleeding, as it is the preferred method for investigating the various causes of this condition. Additionally, it examines the effectiveness of color Doppler and transvaginal ultrasonography in diagnosing postmenopausal hemorrhage.
Patients and methods: This study had been conducted in Diagnostic Radiology Department, Al-Zahraa University hospital on 30 female patients, presented by postmenopausal bleeding along six months' duration starting from January 2024 to September 2024.
Results:   A significant rise was discovered in recurrent bleeding in cases who received HRT compared to those who did not p-value<0.05. An insignificant variance was discovered in the amount of bleeding, ultrasonographic findings, or endometrial thickness among patients with heavy, light, or spotted bleeding p>0.05. Endometrial thickness was higher in patients with heavy bleeding, followed by light bleeding and spotted bleeding. Endometrial atrophy was higher in patients with spotted bleeding (69.2%), while endometrial carcinoma was higher in patients with heavy bleeding (60%).
Conclusion: Postmenopausal vaginal bleeding in women is linked to endometrial atrophy, DM, recurrent bleeding, spotting, and heavy bleeding. Patients receiving HRT have a higher DM percentage, while those without receiving HRT are multiparous, have longer menopause, and have recurrent bleeding.

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