Rasekh Jahromi Athar, Ebadat Hamideh, Jokar Mohammad, Taghipour Nikta, Rahmanian Vahid
Departments of Obstetrics and Gynecology, Jahrom University of Medical Sciences, Jahrom, Iran.
Department of Radiology, School of Medicine, Peymanieh Hospital, Jahrom University of Medical Sciences, Jahrom, Iran.
J Obstet Gynaecol India. 2025 Apr;75(Suppl 1):62-69. doi: 10.1007/s13224-024-01993-7. Epub 2024 Jun 14.
Abnormal uterine bleeding (AUB) is the most common symptom of the endometrial polyps in fertile and postmenopausal women. This study aimed to determine the optimal time to perform a transvaginal ultrasound to diagnose endometrial polyps in the women with abnormal uterine bleeding (AUB).
This descriptive study from the category of a follow-up study was conducted on 350 a group of fertile women with AUB that referred to a women's clinic in Jahrom, Southern Iran. The women with abnormal uterine bleeding at the women's clinic underwent transvaginal sonography. The research included patients who had endometrial polyps discovered during the sonography. Transvaginal sonography was performed on each patient once in the luteal and once in the follicular phases. A hysteroscopy was then conducted in order to get an accurate diagnosis. The collected data were analyzed using SPSS software version 18. The receiver operating characteristic (ROC) curve was used to determine the optimal time to perform the ultrasound to diagnose endometrial polyps.
Among the women in the study, 88.8% (310 participants) were multiparous, and endometrial polyps were detected in 47.4% (166 patients) with the transvaginal sonography of the women. Finally, endometrial polyps were confirmed for 107 patients (64.45%) with hysteroscopy. ROC curve analysis showed that the optimal time to diagnose the endometrial polyps with transvaginal ultrasound was on days 11-13 of the menstrual cycle during the follicular phase, with a sensitivity of 82.5% and a specificity of 73%.
By designating days 11-13 of the follicular phase of the menstrual cycle as the ideal time to utilize transvaginal ultrasound for the purpose of diagnosing endometrial lesions, it is possible to reduce errors and enhance the accessibility of treatment and diagnosis. This study provides essential information for clinicians to identify the endometrial polyps in the women with AUB.
异常子宫出血（AUB）是育龄期和绝经后女性子宫内膜息肉最常见的症状。本研究旨在确定经阴道超声诊断异常子宫出血（AUB）女性子宫内膜息肉的最佳时间。
本研究属于随访研究类别，对转诊至伊朗南部贾赫罗姆一家妇科诊所的350名患有AUB的育龄妇女进行了描述性研究。在妇科诊所出现异常子宫出血的妇女接受了经阴道超声检查。该研究纳入了在超声检查期间发现有子宫内膜息肉的患者。每位患者在黄体期和卵泡期各进行一次经阴道超声检查。然后进行宫腔镜检查以获得准确诊断。使用SPSS 18版软件对收集的数据进行分析。采用受试者工作特征（ROC）曲线来确定进行超声检查诊断子宫内膜息肉的最佳时间。
在研究的女性中，88.8%（310名参与者）为经产妇，经阴道超声检查发现47.4%（166例患者）有子宫内膜息肉。最后，宫腔镜检查确诊107例患者（64.45%）有子宫内膜息肉。ROC曲线分析表明，经阴道超声诊断子宫内膜息肉的最佳时间是月经周期卵泡期的第11 - 13天，敏感性为82.5%，特异性为73%。
将月经周期卵泡期的第11 - 13天指定为使用经阴道超声诊断子宫内膜病变的理想时间，可以减少误差并提高治疗和诊断的可及性。本研究为临床医生识别患有AUB的女性中的子宫内膜息肉提供了重要信息。
