Journal of AdvancedMedical and Dental Sciences Research

Background:The present study was undertaken for sonographic Evaluation of Factors Influencing Endometrial Thickness in Postmenopausal Women. Materials & methods:A total of 100 subjects which presented to department for gynecological evaluation were enrolled. Inclusion criteria for the present study included subjects with postmenopausal women with an intact uterus and no vaginal bleeding. Each subject's hemodynamic and biochemical profiles were assessed in addition to anthropometric factors. A pelvic exam and a TVS evaluation of the uterus were conducted. The measurement of endometrial thickness was made in the longitudinal plane, taking into account the thickness at where the two basal layers of the anterior and posterior uterine walls meet. The antero-posterior (AP) diameter, transverse diameter, and uterocervical length of the fetus were measured both longitudinally and transversely. Results:Overall, uterine volume and ovarian volume was 25.36 cm3 and 1.87 cm3 respectively. While assessing the factors assessing the mean endometrial thickness, it was seen that higher uterine volume, presence of myoma, visualization of both the ovaries and higher ovarian volume were found to be significant factors associated with higher endometrial thickness. Conclusion:Among postmenopausal women, various factors influence endometrial thickness, which includes presence of myoma, uterine volume and ovarian volume. Hence these factors have to be taken into consideration, while evaluating these women.