Transvaginal Ultrasound. Significance in the Diagnosis of Endometrial Bleeding

Uterine endometrial bleeding is more common in women over 40 years of age. Their substrate is most frequently represented by hormonal disorders that can lead to different variants of endometrial hyperplasia (simple or complex hyperplasia without atypia, hyperplasia with simple or complex atypia). Uterine bleeding in menopausal women has endometrial adenocarcinoma substrate. Submucosal leiomyofibroma produces endometrium denudation with its elimination, occurrence of uterine bleeding. The objective of the study consists in correlating uterine, endometrial and myometrial ultrasound imaging, biopsy curettage and histopathological examination of hyperplasia and adenocarcinoma. Transvaginal ultrasound highlighted the structure, size and shape of the uterus, myometrium, endometrium thickness, cervix and ovarian condition. The ultrasound findings compared with the endometrium obtained by biopsy curettage and histopathological examination accounted for over 90% of cases with histopathological positive diagnosis of benign hyperplasia in premenopause, hypotrophic-atrophic endometrium and postmenopausal adenocarcinoma. Transvaginal ultrasound is a minimally invasive diagnostic and screening method in pre- and postmenopausal endometrial pathology.