Postmenopausal Bleeding
Conditions
Keywords
postmenopausal
Brief summary
To evaluate hysteroscopic findings in women with postmenopausal bleeding and correlate them with histopathological results of the endometrium., Sohag University Hospital Obstetrics and Gynecology department
Interventions
None listed
Sponsors
Study design
Eligibility
Inclusion criteria
: * Postmenopausal women presenting with uterine bleeding * Age ≥ 45 years \*
Exclusion criteria
* Women on hormone replacement therapy * Bleeding due to vulvar, vaginal, cervical, or urethral causes * Patients on anticoagulant therapy * Patients unfit for hysteroscopy * Refusal to participate
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| evaluate hysteroscopic findings in women with postmenopausal bleeding and correlate them with histopathological results of the endometrium | 2 weeks | All patients in this study will be subjected to the following (as detailed in the attached patient's data sheet). I. Clinical Assessment * Detailed history including: * Duration since menopause * Pattern and duration of bleeding * Obstetric and medical history * General abdominal and pelvic examination II. Transvaginal Ultrasound (TVS) * Measurement of endometrial thickness * Assessment of uterine and adnexal pathology III. Hysteroscopic Examination Hysteroscopy will be performed using a rigid hysteroscope to evaluate: * Endometrial appearance * Presence of polyps, hyperplasia, or malignancy Hysteroscopic findings will be classified as: * Normal (proliferative, secretory, atrophic) * Abnormal (polyp, hyperplasia, carcinoma, fibroid) (1,3) Criteria suggestive of: * Hyperplasia: irregular thickened endometrium, increased vascularity (1,3) * Carcinoma: irregular necrotic tissue, atypical vessels, friable surface (1,3) IV. Endometrial Sampling • Directed biopsy will be taken from s |