Proper time of ultrasonography in the diagnosis of endometrial polyps in the menstrual cycle

Rasekh Jahromi, A.; Sobhanian, S.; Poorshojai, S.; Alborzi, M.
June 2014
Iranian Journal of Reproductive Medicine;Jun2014 Supplement, Vol. 12, p60
Academic Journal
Introduction: An endometrial polyp is a lesion in the lining of the endometrium that takes up space within the uterine cavity. Incidence of endometrial polyps is up to 10%.of women. They may have a large flat base (sessile) or pedanculated. Pedunculated polyps are more common than sessile ones. The aim of this research is to determine the optimal time for detection of endometrial polyp during the menstrual cycle in transvaginal sonography (TVS). Materials and Methods: Prospective clinical trial study carried out on 930 women with AUB who were referred to Dr Rasekh clinic during the 6 months. 81 (8.7%) patients are suspected to have endometrial polyps. The average age of them is 35.06 years. TVS was performed. If a lesion was detected, it was further evaluated by hysteroscopy. Results: TVS was performed on the day 9 -14 of the menstrual cycle. Polyp size was estimated between 4.3 mm to 2.60 cm. Patients were operated BY hysteroscopy that it was confirmed the diagnosis of endometrial polyps. Accuracy of TVS during different phases was largely dependent on the time of undergo ultrasonography and the size of the lesion. TVS falsely detected one (1.2%) lesions. Conclusion: Accuracy of TVS in detection of endometrial polyp is highly dependent on the menstrual cycle phase. The day 9-14 of the menstrual cycle being the optimal time for this examination, because endometrial cavity is three layer and transparent at this time.


Related Articles

  • Texture analysis of perimenopausal and post-menopausal endometrial tissue in grayscale transvaginal ultrasonography. G Michail; A Karahaliou; S Skiadopoulos; C Kalogeropoulou; G Terzis; I Boniatis; L Costaridou; G Kourounis; G Panayiotakis // British Journal of Radiology;Aug2007, Vol. 80 Issue 956, p609 

    The aim of this study was to investigate the feasibility of texture analysis in characterizing endometrial tissue as depicted in two-dimensional (2D) grayscale transvaginal ultrasonography. Digital transvaginal ultrasound endometrial images were acquired from 65 perimenopausal and...

  • Surveillance for endometrial cancer with transvaginal ultrasonography of breast cancer patients under tamoxifen treatment. Ciatto, S.; Cecchini, S.; Gervasi, G.; Landini, A.; Zappa, M.; Crocetti, E. // British Journal of Cancer;4/22/2003, Vol. 88 Issue 8, p1175 

    The association of endometrial thickness with the risk of developing endometrial cancer (EC) within 2 years was investigated in a consecutive cohort of 1205 breast cancer patients under tamoxifen treatment, undergoing transvaginal ultrasonography (TVUS) for follow-up purpose (asymptomatic, 1068)...

  • Pituitary Desensitization Reduces Ovarian Volume and Vascularity.  // Fertility Weekly;8/4/2008, p2 

    The article presents a study on pituitary desensitization conducted by K. Jayaprakasan and colleagues in Great Britain. It states that pituitary desensitization results in a substantial decrease in ovarian volume and vascularity but with no effect on antral follicle count (AFC). The study...

  • Effects on CRH and UCN Expression in Endometrium of Healthy Women. Makrigiannakis, Antonis // Fertility Weekly;12/23/2013, p2 

    The article reports on a study on the effect of metformin on endometrial corticotrophin-releasing hormone (CRH) and urocortin (UCN) expression in the midluteal phase in healthy women. The study performed transvaginal sonography (TVS) to assess the characteristics of the ovary and endometrium....

  • Will Endometrial Volume Measurements Add Something New to the Diagnosis of Early Pregnancy? Dmitrovic, Romana; Simunic, Velimir // Current Women's Health Reviews;2009, Vol. 5 Issue 1, p24 

    Transvaginal ultrasound will detect an intrauterine pregnancy, first seen as a visible gestational sac, as early as four weeks and 3-4 days (day 31-32 of the cycle) after the last menstrual period. However, our knowledge of ultrasonically detectable endometrial changes before the gestational sac...

  • Changes in endometrial receptivity in women with Asherman's syndrome undergoing hysteroscopic adhesiolysis. Malhotra, Neena; Bahadur, Anupama; Kalaivani, Mani; Mittal, Suneeta // Archives of Gynecology & Obstetrics;Aug2012, Vol. 286 Issue 2, p525 

    Objective: To determine whether there is any improvement in the endometrial receptivity in infertile women with Asherman's syndrome undergoing hysteroscopic adhesiolysis. Materials and methods: This was a prospective observational clinical analysis of 40 infertile patients who underwent...

  • The evaluation of endometrial tumors by transvaginal and Doppler ultrasonography. Kanat-Pektas, Mine; Gungor, Tayfun; Mollamahmutoglu, Leyla // Archives of Gynecology & Obstetrics;Jun2008, Vol. 277 Issue 6, p495 

    Background: Endometrial cancer is the most common malignancy of the female genital tractus which is primarily seen in postmenopausal women. The purpose of this study is to investigate the relation between uterine histopathologic alterations and sonographic findings in women...

  • EVALUATION OF DIAGNOSTIC METHODS IN ABNORMAL UTERINE BLEEDING AND ENDOMETRIAL CARCINOMA: SECTIONAL PROSPECTIVE STUDY. Yumru, A. Ender; Bozkurt, Murat; Çoşkun, Ebru İnci; Erkııinçoğlu, Melek; Ayanoğlu, Y. Tahsin // Nobel Medicus Journal;May-Aug2009, Vol. 5 Issue 2, p59 

    • Objective: The objective of this study is to analyze the sensitivity, specificity, positive and negative diagnostic value of transvaginal ultrasonography (TVUSG), dilatation arid curettage (D&C) and hysteroscopy alone or combined which are used in diagnosis of abnormal uterine bleeding...

  • Two-Dimensional Sonographic Evaluation of Endometrial Polyps - Parameters That Are Reassuring. Goldberg, Yael; Lavie, Ofer; Mandel, Rachel; Kaufman, Yuval; Segev, Yakir; auslender, Ron // Gynecologic & Obstetric Investigation;Jul2016, Vol. 81 Issue 4, p359 

    Aims: To assess intra-endometrial lesions according to five two-dimensional sonographic parameters for predicting malignancy.Material and Methods: This is a retrospective analysis of stored digital images from consecutive pathological reports of patients with benign...


Read the Article


Sorry, but this item is not currently available from your library.

Try another library?
Sign out of this library

Other Topics