How to investigate menometrorrhagias at the time of menopause?
Lansac, J.; Alle, C.
Revue Francaise de Gynecologie et d'Obstetrique 89(11): 573-577
1994
ISSN/ISBN: 0035-290X PMID: 7817088 Document Number: 423058
Metromenorrhagia is common around the time of the menopause. Following a careful history and full gynecological examination, vaginal ultrasonography and hysteroscopy combined with biopsies enable the investigation of such genital bleeding. Vaginal ultrasonography can be used to visualise the uterine cavity and measure the thickness of the endometrium. The term atrophy is used if the latter is less than 5 mm. If, on the contrary, the endometrium is thick or if there is a more notable intracavitary lesion, hysteroscopy and the collection of biopsy material guided by it will provide the diagnosis.