Menopause ultrasonography

Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] Associate Editor(s)-in-Chief: Rahmah Al-Edresi, M.D.[2]

Overview[edit | edit source]

On pelvic ultrasound, menopause is characterized by small uterus and an endometrial thickness between 5-8 mm. Small ovaries with either a few follicles or no, and normal or non-visible adnexa. Transvaginal ultrasound is helpful for intitial evaluation of postmenopausal bleeding women, if endometrial thickness is 4mm or less, women more prone able for endometrial cancer. Endometrial biopsy is indicated in recurrent postmenopausal bleeding women.

Ultrasound Findings in Menopause[edit | edit source]

Pelvic ultrasound findings in menopausal women include:[edit | edit source]

• Anteroposterior diameter of uterus decreased by 22%.
• Hyperechogenic endometrium of varying thickness between 5-8 mm and without any midline or triple layer appearance.
• Ovarian volumes decreased by 20 - 45%.
• Ovaries do not contain follicles or a few follicles that are measure less than 11 ml.
• Normal or non-visible adnexa.
• Some women had small adnexal cysts^[1][2][3][4]

Transvaginal ultrasound findings in postmenopausal bleeding women include:[edit | edit source]

• Transvaginal ultrasound is recommended in postmenopausal bleeding women for intitial evaluation for case.
• The endometrial thickness is measured on a long-axis view of the uterus. If the endometrial thickness is thin about 4mm or less, these cases more prone able for endometrial carcinoma.
• Recurrent of postmenopausal bleeding is indicated for endometrial biopsy.^[5][6]

References[edit | edit source]

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