It is concluded that whilst bleeding on continuous combined HRT is more common in women with a thicker endometrium, sonographic assessment of the endometrium is not an accurate enough predictor of bleeding to be used in this clinical setting....
In sequen- tial HRT, a three-layer ultrasound pattern of the endometrium was seen in 49.4% of women in the estrogen-alone phase of cycle vs. 13.3% in the estro-progestogen phase. About 3.5% of women on continuous estro-progestogen and 13.8% of the tibolone group showed a three-layer ...
Women with PMB are categorized as those with spontaneous bleeding and those with bleeding whilst on Tamoxifen or HRT. All these patients should be investigated by TVS, hysteroscopy and D&C and accordingly should be managed. Postmenopausal bleeding (PMB) is defined as a bleeding which occurs after ...