Menopause ultrasonography: Difference between revisions

Jump to navigation Jump to search
No edit summary
No edit summary
 
(21 intermediate revisions by the same user not shown)
Line 5: Line 5:


==Overview==
==Overview==
On pelvic ultrasound, menopause is characterized by a decreasing diameter of the uterus with varying thickness, and a decrease in the volume of the ovaries with either a few follicles or no. On transvaginal ultrasound, menopause findings include normal uterus or small with endometrial thickness 4mm or less. Ovaries and adnexa are normal or non-visible. Some women had small adnexal cysts.
On [[pelvic ultrasound]], [[menopause]] is characterized by small [[uterus]] and an [[Endometrium|endometrial]] thickness between 5-8 mm. Small [[ovaries]] with either a few [[Follicle|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==
==Ultrasound Findings in Menopause==
====Pelvic ultrasound findings in menopausal women include:====


===Pelvic ultrasound findings in menopausal women include:===
*[[Anatomical terms of location|Anteroposterior]] [[diameter]] of [[uterus]] decreased by 22%.
*[https://obgyn.onlinelibrary.wiley.com/doi/full/10.1002/uog.7487 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 [[Follicle|follicles]] or a few [[Follicle|follicles]] that are measure less than 11 ml.
*Normal or non-visible [[adnexa]].
*Some [[women]] had small [https://www.nationwidechildrens.org/conditions/adnexal-cysts adnexal cysts]<ref name="pmid18197593">{{cite journal| author=Sokalska A, Valentin L| title=Changes in ultrasound morphology of the uterus and ovaries during the menopausal transition and early postmenopause: a 4-year longitudinal study. | journal=Ultrasound Obstet Gynecol | year= 2008 | volume= 31 | issue= 2 | pages= 210-7 | pmid=18197593 | doi=10.1002/uog.5241 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=18197593  }} </ref><ref name="pmid8932630">{{cite journal| author=Merz E, Miric-Tesanic D, Bahlmann F, Weber G, Wellek S| title=Sonographic size of uterus and ovaries in pre- and postmenopausal women. | journal=Ultrasound Obstet Gynecol | year= 1996 | volume= 7 | issue= 1 | pages= 38-42 | pmid=8932630 | doi=10.1046/j.1469-0705.1996.07010038.x | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=8932630  }} </ref><ref name="pmid2067762">{{cite journal| author=Varner RE, Sparks JM, Cameron CD, Roberts LL, Soong SJ| title=Transvaginal sonography of the endometrium in postmenopausal women. | journal=Obstet Gynecol | year= 1991 | volume= 78 | issue= 2 | pages= 195-9 | pmid=2067762 | doi= | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=2067762  }} </ref><ref name="pmid8535922">{{cite journal| author=Sladkevicius P, Valentin L, Marsàl K| title=Transvaginal gray-scale and Doppler ultrasound examinations of the uterus and ovaries in healthy postmenopausal women. | journal=Ultrasound Obstet Gynecol | year= 1995 | volume= 6 | issue= 2 | pages= 81-90 | pmid=8535922 | doi=10.1046/j.1469-0705.1995.06020081.x | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=8535922  }} </ref>


*Anteroposterior diameter of uterus decreased by 22%.
====Transvaginal ultrasound findings in postmenopausal bleeding women include:====


*Hyperechogenic endometrium of varying thickness and without any midline or triple layer appearance.
*[[Transvaginal ultrasound]] is recommended in [[postmenopausal bleeding]] women for intitial evaluation for case.
*Right and left ovarian volumes decreased by 20 and 45% respectively.
*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]].
*Ovaries do not contain follicles or a few follicles that are measure less than 11 ml.<ref name="pmid18197593">{{cite journal| author=Sokalska A, Valentin L| title=Changes in ultrasound morphology of the uterus and ovaries during the menopausal transition and early postmenopause: a 4-year longitudinal study. | journal=Ultrasound Obstet Gynecol | year= 2008 | volume= 31 | issue= 2 | pages= 210-7 | pmid=18197593 | doi=10.1002/uog.5241 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=18197593 }} </ref><ref name="pmid8932630">{{cite journal| author=Merz E, Miric-Tesanic D, Bahlmann F, Weber G, Wellek S| title=Sonographic size of uterus and ovaries in pre- and postmenopausal women. | journal=Ultrasound Obstet Gynecol | year= 1996 | volume= 7 | issue= 1 | pages= 38-42 | pmid=8932630 | doi=10.1046/j.1469-0705.1996.07010038.x | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=8932630  }} </ref><ref name="pmid2067762">{{cite journal| author=Varner RE, Sparks JM, Cameron CD, Roberts LL, Soong SJ| title=Transvaginal sonography of the endometrium in postmenopausal women. | journal=Obstet Gynecol | year= 1991 | volume= 78 | issue= 2 | pages= 195-9 | pmid=2067762 | doi= | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=2067762 }} </ref>
*Recurrent of [[postmenopausal bleeding]] is indicated for [[endometrial biopsy]].<ref name="pmid29683909">{{cite journal| author=| title=ACOG Committee Opinion No. 734: The Role of Transvaginal Ultrasonography in Evaluating the Endometrium of Women With Postmenopausal Bleeding. | journal=Obstet Gynecol | year= 2018 | volume= 131 | issue= 5 | pages= e124-e129 | pmid=29683909 | doi=10.1097/AOG.0000000000002631 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=29683909 }} </ref><ref name="pmid9714389">{{cite journal| author=Briley M, Lindsell DR| title=The role of transvaginal ultrasound in the investigation of women with post-menopausal bleeding. | journal=Clin Radiol | year= 1998 | volume= 53 | issue= 7 | pages= 502-5 | pmid=9714389 | doi=10.1016/s0009-9260(98)80169-4 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=9714389 }} </ref>


===Transvaginal ultrasound findings in menopausal women include:<ref name="pmid8535922">{{cite journal| author=Sladkevicius P, Valentin L, Marsàl K| title=Transvaginal gray-scale and Doppler ultrasound examinations of the uterus and ovaries in healthy postmenopausal women. | journal=Ultrasound Obstet Gynecol | year= 1995 | volume= 6 | issue= 2 | pages= 81-90 | pmid=8535922 | doi=10.1046/j.1469-0705.1995.06020081.x | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=8535922  }} </ref>===


*Normal uterus or small uterus.


*Endometrial thickness is 4 mm or less, but some women had endometrial thickness between 5-8 mm.
*Normal or non-visible ovaries.
*Normal or non-visible adnexa.
*Some women had small adnexal cysts with a normal uterus or small.


==Ultrasound Examples of Menopause==






<br />
 
==<big>References</big>==
 
 
 
 
 
 
==References==
{{reflist|2}}
{{reflist|2}}



Latest revision as of 00:14, 28 February 2021

Menopause Microchapters

Home

Patient Information

Overview

Historical Perspective

Classification

Pathophysiology

Causes

Differential Diagnosis

Epidemiology and Demographics

Risk Factors

Natural History, Complications and Prognosis

Diagnosis

History and Symptoms

Physical Examination

Laboratory Findings

Ultrasonography

Other Imaging Findings

Treatment

Medical Therapy

Prevention

Cost-Effectiveness of Therapy

Future or Investigational Therapies

Case Studies

Case #1

Menopause ultrasonography On the Web

Most recent articles

Most cited articles

Review articles

CME Programs

Powerpoint slides

Images

American Roentgen Ray Society Images of Menopause ultrasonography

All Images
X-rays
Echo & Ultrasound
CT Images
MRI

Ongoing Trials at Clinical Trials.gov

US National Guidelines Clearinghouse

NICE Guidance

FDA on Menopause ultrasonography

CDC on Menopause ultrasonography

Menopause ultrasonography in the news

Blogs on Menopause ultrasonography

Directions to Hospitals Treating Menopause

Risk calculators and risk factors for 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

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

Pelvic ultrasound findings in menopausal women include:

Transvaginal ultrasound findings in postmenopausal bleeding women include:








References

  1. Sokalska A, Valentin L (2008). "Changes in ultrasound morphology of the uterus and ovaries during the menopausal transition and early postmenopause: a 4-year longitudinal study". Ultrasound Obstet Gynecol. 31 (2): 210–7. doi:10.1002/uog.5241. PMID 18197593.
  2. Merz E, Miric-Tesanic D, Bahlmann F, Weber G, Wellek S (1996). "Sonographic size of uterus and ovaries in pre- and postmenopausal women". Ultrasound Obstet Gynecol. 7 (1): 38–42. doi:10.1046/j.1469-0705.1996.07010038.x. PMID 8932630.
  3. Varner RE, Sparks JM, Cameron CD, Roberts LL, Soong SJ (1991). "Transvaginal sonography of the endometrium in postmenopausal women". Obstet Gynecol. 78 (2): 195–9. PMID 2067762.
  4. Sladkevicius P, Valentin L, Marsàl K (1995). "Transvaginal gray-scale and Doppler ultrasound examinations of the uterus and ovaries in healthy postmenopausal women". Ultrasound Obstet Gynecol. 6 (2): 81–90. doi:10.1046/j.1469-0705.1995.06020081.x. PMID 8535922.
  5. "ACOG Committee Opinion No. 734: The Role of Transvaginal Ultrasonography in Evaluating the Endometrium of Women With Postmenopausal Bleeding". Obstet Gynecol. 131 (5): e124–e129. 2018. doi:10.1097/AOG.0000000000002631. PMID 29683909.
  6. Briley M, Lindsell DR (1998). "The role of transvaginal ultrasound in the investigation of women with post-menopausal bleeding". Clin Radiol. 53 (7): 502–5. doi:10.1016/s0009-9260(98)80169-4. PMID 9714389.


Template:WikiDoc Sources