Endometrial thickness in asymptomatic postmenopausal Nigerian women with and without hypertension

Hypertension has been identified as a risk factor for the development of endometrial carcinoma. Assessment of endometrial thickness using endovaginal ultrasonography has proved useful in the diagnosis of pathologic endometrial changes in postmenopausal women. Granberg et al. documented that if the cut-off limit for an abnormally thick endometrium was set at 5 mm the positive predictive value for identifying pathologic changes was 87.3%. Studies performed outside Nigeria have shown that compared with normotensive postmenopausal women hypertensive postmenopausal women had increased asymptomatic endometrial thickness. (excerpt)