title: The utility of endometrial thickness measurement in asymptomatic postmenopausal women with endometrial fluid.
abstract: The aim of this study was to assess the clinical usefulness of sonographic endometrium thickness measurement in asymptomatic postmenopausal women with endometrial fluid collection. Fifty-two asymptomatic postmenopausal women with endometrial fluid, who underwent endometrial sampling were evaluated. Histopathological findings revealed that 25 (48.1%) women had insufficient tissue, 20 (38.4%) had atrophic endometrium and 7 (13.5%) had endometrial polyps. No case of malignancy was found. There was no statistically significant difference between the various histopathological categories (insufficient tissue, atrophic endometrium and polyp) with regard to the mean single-layer endometrial thickness (1.54 ± 0.87, 2.04 ± 1.76 and 1.79 ± 0.69 mm, respectively, p = 0.436). Out of 44 patients with endometrial thickness of less than 3 mm, 38 (86.4%) had atrophic changes or insufficient tissue and 6 (13.6%) had endometrial polyps. In conclusion, if the endometrial thickness is 3 mm or less, endometrial sampling is not necessary in asymptomatic postmenopausal women with endometrial fluid.
authors.affiliation: a Department of Reproductive Endocrinology , Zekai Tahir Burak Women's Health Education and Research Hospital , Ankara , Turkey.
authors.forename: B
authors.initials: B
authors.lastname: Seckin
authors.affiliation: a Department of Reproductive Endocrinology , Zekai Tahir Burak Women's Health Education and Research Hospital , Ankara , Turkey.
authors.forename: A S
authors.initials: AS
authors.lastname: Ozgu-Erdinc
authors.affiliation: b Department of Physiology , Hacettepe University Faculty of Medicine , Ankara , Turkey.|c Departments of Physiology and Biomedical Engineering , Mayo Clinic, College of Medicine , Rochester, Minnesota , USA.
authors.forename: M
authors.initials: M
authors.lastname: Dogan
authors.affiliation: d Department of Pathology , Zekai Tahir Burak Women's Health Education and Research Hospital , Ankara , Turkey.
authors.forename: M
authors.initials: M
authors.lastname: Turker
authors.affiliation: a Department of Reproductive Endocrinology , Zekai Tahir Burak Women's Health Education and Research Hospital , Ankara , Turkey.
authors.forename: M N
authors.initials: MN
authors.lastname: Cicek
mesh_terms: D000368:Aged; D058070:Asymptomatic Diseases; D001284:Atrophy / Q000175:diagnosis / Q000473:pathology; D001826:Body Fluids; D016889:Endometrial Neoplasms / Q000175:diagnosis* / Q000473:pathology; D004717:Endometrium / Q000000981:diagnostic imaging* / Q000473:pathology*; D019160:Endosonography; D005260:Female; D006801:Humans; D008875:Middle Aged; D009929:Organ Size; D011127:Polyps / Q000175:diagnosis* / Q000473:pathology; D017698:Postmenopause; D011237:Predictive Value of Tests; D011446:Prospective Studies
keywords: Endometrial fluid; endometrial thickness; postmenopausal; ultrasound