title: [Postmenopausal bleeding. Comparison between ultrasonography, hysteroscopy and histology results].
abstract: BACKGROUND
  Post-menopausal bleeding are frequently found in gynaecological consultations and requires the search of an organic cause
  
  
  OBJECTIVE
  To value the profit and the performances of the transvaginal ultrasonography and the hysteroscopy in the determination of the causes of post-menopausal bleeding.
  
  
  METHODS
  80 patients presenting abnormal uterine bleeding in post menopause period have been explored in our department with transvaginal ultrasonography and hysteroscopy. The findings have been evaluated on the basis of specimens obtained from either endometrial biopsy, hysterectomy or operative hysteroscopy. We have calculated in our study the sensitivity, the specificity, the positive and negative predictive values of transvaginal ultrasonography and hysteroscopy.
  
  
  RESULTS
  The sensitivity, the specificity, the positive and negative values predictive of the transvaginal ultrasonography is respectively 93, 75%, 87, 5%, 83, 3% and 95, 45%. In the other part, hysteroscopy seems more performant in the diagnosis of intrauterine abnormalities with the respective values: 100%, 95, 83%, 94, 11% and 100%.
  
  
  CONCLUSIONS
  The initial investigation in front of all mennorhagic patients must be the transvaginal ultrasonography but we also need the hysteroscopy because its highly accurate means in the diagnosis of the causes of excessive uterine bleeding in post menopausal period.
authors.affiliation: Service de gynecologie, CHU Cha les Nicolle, Tunis, Tunisie.
authors.forename: Nabil
authors.initials: N
authors.lastname: Mathlouthi
authors.forename: Olfa
authors.initials: O
authors.lastname: Slimani
authors.forename: Amira
authors.initials: A
authors.lastname: Ferchichi
authors.forename: Riadh
authors.initials: R
authors.lastname: Ben Temime
authors.forename: Tahar
authors.initials: T
authors.lastname: Makhlouf
authors.forename: Leila
authors.initials: L
authors.lastname: Attia
authors.forename: Abdellatif
authors.initials: A
authors.lastname: Chachia
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D005260:Female; D006801:Humans; D015907:Hysteroscopy; D008875:Middle Aged; D017698:Postmenopause; D011446:Prospective Studies; D012680:Sensitivity and Specificity; D014463:Ultrasonography; D014591:Uterine Diseases / Q000175:diagnosis*; D014592:Uterine Hemorrhage / Q000209:etiology*; D014599:Uterus / Q000473:pathology*