Menopause ultrasonography: Difference between revisions
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==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 | 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 between 5-8 mm. Ovaries and adnexa are normal or non-visible. Some women had small adnexal cysts. | ||
==Ultrasound Findings in Menopause== | ==Ultrasound Findings in Menopause== | ||
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*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> | *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> | ||
==== 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> ==== | ====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. | *Normal uterus or small uterus. | ||
*Endometrial thickness is | *Endometrial thickness is between 5-8 mm, some women who had utrein bleeding and the endometrium is thin about 4mm or less. they are more prone able for endometrial cancer. | ||
*Normal or non-visible ovaries. | *Normal or non-visible ovaries. | ||
*Normal or non-visible adnexa. | *Normal or non-visible adnexa. | ||
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==Ultrasound Examples of Menopause== | ==Ultrasound Examples of Menopause== | ||
Revision as of 14:27, 27 February 2021
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Menopause ultrasonography On the Web |
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American Roentgen Ray Society Images of Menopause ultrasonography |
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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 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 between 5-8 mm. Ovaries and adnexa are normal or non-visible. Some women had small adnexal cysts.
Ultrasound Findings in Menopause
Pelvic ultrasound findings in menopausal women include:
- Anteroposterior diameter of uterus decreased by 22%.
- Hyperechogenic endometrium of varying thickness and without any midline or triple layer appearance.
- Right and left ovarian volumes decreased by 20 and 45% respectively.
- Ovaries do not contain follicles or a few follicles that are measure less than 11 ml.[1][2][3]
Transvaginal ultrasound findings in menopausal women include:[4]
- Normal uterus or small uterus.
- Endometrial thickness is between 5-8 mm, some women who had utrein bleeding and the endometrium is thin about 4mm or less. they are more prone able for endometrial cancer.
- 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
References
- ↑ 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.
- ↑ 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.
- ↑ 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.
- ↑ 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.