Study of post menopausal vaginal bleeding in Sudanese women by using Ultrasonography

ABSTRACT

This is a scientific and practical study which was done during September -2015 to march 2016 and was carried out in Sudan-Khartoum state( Khartoum, Omdurman teaching hospitals ).

The study discusses the evaluation of U/S Scanning in diagnosing of post menopausal vaginal bleeding .

A total of “50” patients were selected randomly; all those patients have age above forty years, have signs of post menopausal vaginal bleeding and referred by physician.

All patients were subjected to be examined by U/S scanning using ‘Honda’ Aloka and General Electric scanners with 3,5MHz probe .

Trans abdominal scanning were performed for all patients and measured AP , length and transverse diameters of the uterus , endometrial thickness , then evaluates the shape and texture of the uterus , and diameters and shape of mass if present.

This study found that there were 15 patients (30%) have endometrial hyper Plasia , 17 patients (34%) have uterine fibroid , 9 patients (18%) Endometrial Carcinoma, 5 patients (10%) have uterine carcinoma and 4 patients (8%) have cervical carcinoma . also it found that the age is risk factor for post menopausal vaginal bleeding.

In addition to that the study shows that; the U/S findings of the uterine cancers mostly changes the texture of the uterus , all patients with uterine cancer 5 patients they have change in uterine texture , 8 patients out of 9 with endometrial carcinoma they have change in uterine texture while 1 patient have no change , 3 patient out of 4 with

cervical carcinoma they have change in uterine texture while 1 patients have no change, all patients with uterine fibroid 17 patients they have no change in uterine texture, 14 patients out of 15 from those have endometrial hype Plasia have no change in uterine texture while 1 of them do have, this indicate that most patients with malignant disease they have change in the texture of the uterus while the majority of patients with benign disease they have normal uterine texture. In this study we found that the possibility of change in uterine texture and increased endometrial thickness increased with increase age of menopause, also we found that the possibility of post menopausal vaginal bleeding increased with fertility, lactation and increased number of abortions, also we found that this disease is more common in low and moderate socio economic statues more than high socio economic statues.

This study recommended that elder women (40 years or greater) should be educated about post menopausal vaginal bleeding for early complain to health centers for early diagnoses and treatment , also recommended that the government should introduce new ultrasound machines and increase the training institutes of ultrasound for increasing the sonologists skills and experiences , also recommended that the government should be increase the specialist hospitals for gynecology diseases because they increased in Sudanese women now a days.