Comparison of Transvaginal Ultrasound, Hysteroscopy, and Dilatation and Curettage in the Diagnosis of Abnormal Vaginal Bleeding and Intrauterine Pathology in Perimenopausal and Postmenopausal Women

Study Objective. To compare transvaginal ultrasound, hysteroscopy, and dilation and curettage (DC in 2 of them (7.14%) endometrial thickness was 5 mm or less. In 10 women (34.5%), endometrial carcinoma was missed by hysteroscopy (sensitivity 65.52%, specificity 99.92%). Complication rate of D&C was 1.4%. Conclusion. In women with perimenopausal and postmenopausal bleeding neither transvaginal ultrasound nor hysteroscopy as a single diagnostic tool is suitable to rule out endometrial cancer.