Evaluation of the Role of Ultrasound in Post-menopausal Vaginal Bleeding Using Ultrasonography

Abstract

This study aimed to evaluate the role of ultrasound in postmenopausal women with vaginal bleeding in order to find out the most common causes of post-menopausal vaginal bleeding on 100 post-menopausal patients with age range (43-80yrs) with vaginal bleeding occurring at least one year after the last menstruation. This was a cross sectional retrospective study was carried out in Khartoum state, Sudan, in ultrasound departments of Dar Alelag Hospital and East Nile Hospital during period from November 2016 to February 2017.The study found that a total of 100 women with post-menopausal vaginal bleeding were evaluated, (33%) of cases had endometrial thickening more than 6mm. Uterine fibroid (26% of cases). Adnexal masses (16% of cases) (12% of cases) were vaginal bleeding due to infection. Endometrial polyp (7% of cases). Cervical mass (6% of cases). Higher frequency of post menopausal women with vaginal bleeding was occurred between ages (60-69 year). (33%) of cases was endometrial thickening more than 6 mm. also there is a decreased in incidence of post-menopausal vaginal bleeding with increasing parity. Study concluded that ultrasound was excellent method for evaluation women with post-menopausal vaginal bleeding.