Correlation between ultrasonographic and histological uterine findings in bleeding premenopausal or postmenopausal women

Aim: Estimate the correlation between ultrasonographic and histological findings in women with premenopausal or postmenopausal bleeding. Objectives: 1. Estimate the most frequent suspected causes of bleeding in premenopausal and postmenopausal women during ultrasound evaluation. 2. Assess the frequency of benign and malignant uterine pathology. 3. Evaluate the accuracy of preoperative diagnosis using an ultrasound. 4. Estimate optimal endometrial thickness “cut-off“ value for endometrial cancer diagnostics using an ultrasound. Methods: Retrospective analysis of 98 women case-records, who were hospitalized in HLUHS KC OGD in the year of 2016-10-07 – 2017-10-08 and had premenopausal or postmenopausal bleeding. The US diagnostic sensitivity and specificity was measured. For data analysis SPSS 23.0 program was used, statistical relevance was observed when p<0.05, reliability 95%. Participants of the research: 84 women suited the criteria: bleeding in premenopause or postmenopause; US diagnostics were made; histological substance was taken and informative. Results: Endometrial changes that were suspected by US in premenopausal and postmenopausal bleeding accordingly: endometrium thickness ≥10 mm – 65.91% (n=29) and ≥5 mm – 82.5% (n=33), masses 27.27% (n=12) and 25% (n=10), atrophic endometrium 4.55% (n=2) and 17.5% (n=7). Endometrial carcinoma in postmenopause was detected in 17.7% (n=7) cases. Cyclic changes were more likely to be seen in premenopausal bleeding (p<0.0001). In postmenopausal bleeding there were more endometrial atrophy (p<0.0001) and endometrial carcinoma (p