Postmenopausal
bleeding is a clinically important complaint in general gynecologic practice.
The incidence of spontaneous postmenopausal bleeding in the general population
is approximately 10% immediately after menopause, and 5% in all menopausal
women. Various benign genital causes of postmenopausal bleeding include
atrophic vaginitis, endometrial and cervical polyps, endometrial hyperplasia.
Endometrial
cancer is the most common gynecological malignancy and the fourth most frequent
site of malignant neoplasm in females. Endometrial cancer comprises only
1.9% of all types of cancer in increasing trend along with the average lifespan.
Transvaginal
sonography is a noninvasive procedure for detecting changes in the endometrium
and has been used as a screening method in asymptomatic postmenopausal women
before or during hormonal replacement therapy. Screening methods such as
cervical or vaginal cytology are not sufficiently accurate for the detection of
endometrial carcinoma, and direct intrauterine cell sampling and hysteroscopy
are not practical screening methods because of their invasive nature
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