TITLE

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

AUTHOR(S)
Rasekh Jahromi, A.; Sobhanian, S.; Poorshojai, S.; Alborzi, M.
PUB. DATE
June 2014
SOURCE
Iranian Journal of Reproductive Medicine;Jun2014 Supplement, Vol. 12, p60
SOURCE TYPE
Academic Journal
DOC. TYPE
Abstract
ABSTRACT
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.
ACCESSION #
96841625

 

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