• Medicina · Mar 2020

    Multicenter Study

    Clinical and Sonographic Evaluation of Postmenopausal Bleeding (PMB) Followed by Diagnostic and/or Therapeutic Hysteroscopy and Guided Biopsy in Jordanian Hospitals.

    • Abu-Azzam Omar, Abufraijeh Seham, Ahlam Mahmoud Al-Kharabsheh, Emad Alshara, Amer Mahmoud Sindiani, Omar Hamdan, Imene Ghoul, and Hamzeh Mohammad Alrawashdeh.
    • Department of Obstetrics and Gynecology, College of Medicine, Mutah University, al-Karak 61710, Jordan.
    • Medicina (Kaunas). 2020 Mar 25; 56 (4).

    AbstractBackground and Objectives: The goal of this study was to evaluate the clinical sonographic evaluation of postmenopausal bleeding (PMB) followed by diagnostic and/or therapeutic hysteroscopy and guided biopsy in Jordanian hospitals. Materials and Methods: A retrospective multi-centric study was performed in hospitals in Al-Karak and Amman from 2014-2016. The study recruited 189 cases to evaluate the aetiology of postmenopausal bleeding. Atrophic endometrium was observed as a major cause of postmenopausal bleeding according to histopathology. The cases were also distributed according to parity in which nulliparous patients were observed. Results: Hysteroscopy was observed to be effective for the diagnosis of postmenopausal bleeding. Conclusion: There is a need to assess more approaches for the diagnosis of postmenopausal bleeding among women.

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