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Abstract
Vaginal sonography of the endometrium is a new method of monitoring the effects of
progestogen replacement therapy during the post-menopausal period. The advantages
of transvaginal ultrasonic diagnosis are that the uterus can be seen from the fornix
vaginae (that is from close range) and that the examination can be carried out whether
the bladder is full or not. The differences in the thickness and structure of the
endometrium, and the boundary with the surrounding myometrium, enable most of the
endometrial changes that occur during the post-menopausal period to be detected sonographically.
In the first group of patients we investigated, endometrial carcinoma was detected
in 2 out of 60 women suffering from post-menopausal metrorrhagia, the findings subsequently
being confirmed histologically. It was observed that post-menopausal women who have
regular bleeding during post-menopausal hormone therapy show signs of endometrial
proliferation during oestrogen therapy and of secretion during progestogen therapy.
Keywords
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References
- Ultraschalldarstellung verschiedener Endometriumformen.in: Ultraschalldiagnostik. 82. Stuttgart-New York, Thieme1983: 325
- Sonographische und endokrinologische Lutealphasenbestimmung.in: Ultraschalldiagnostik. 85. Stuttgart-New York, Thieme1985: 37
- The menopause: benefits and risks of estrogen-progesterone replacement therapy.Fertil Steril. 1982; 37: 457
- Oestrogens and endometrial cancer: A point of view.in: Clinics in Obstetrics and Gynecology. 4. Saunders, London1977: 145
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© 1988 Published by Elsevier Inc.
