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An endometrial polyp or uterine polyp is a mass in the inner lining of the uterus. [1] They may have a large flat base or be attached to the uterus by an elongated pedicle (pedunculated). [2] [3] Pedunculated polyps are more common than sessile ones. [4] They range in size from a few millimeters to several centimeters. [3]
[6] [4] Due to diffuse polyposis typical presentation is that of a female (40-45 yrs) With a history of Amenorrhea for 2 weeks Followed by excessive menstrual bleeding cause being anovulation Histopathology: Proliferative endometrium without atypical changes Swiss cheese appearance On USG increased endometrial thickness without atypical change
A cut-off of 8 mm or more has 34% positive rate, while a cut off of 14 mm or more has 85% sensitivity, 64% specificity for the diagnosis. Color Doppler flow in the endometrial canal can increased confidence in the diagnosis, though its absence does not exclude it, as 40% of cases of retained products have little or no flow.
Transvaginal ultrasonography is generally done before obtaining an endometrial biopsy as it may help in the gynecologic diagnosis, or even make the taking of a biopsy superfluous if the lining is thin. If the endometrial lining is less than 5 mm thick on sonography, it is highly unusual to encounter endometrial cancer. [1]
But in the new study, which included data for about 1,500 Black patients, more than 11% of those with endometrial cancer (24 of 210 people) had endometrial thickness measurements that fell within ...
An endometrial thickness (EMT) of less than 7 mm decreases the pregnancy rate in in vitro fertilization by an odds ratio of approximately 0.4 compared to an EMT of over 7 mm. However, such low thickness rarely occurs, and any routine use of this parameter is regarded as not justified. The optimal endometrial thickness is 10mm.