Genital tract bleeding in the post-menopausal period is an alarming symptom. The probable causes are attributed to uterine, cervical and adnexal causes apart from the drug related or bleeding diathesis. The evaluation of these patients by transvaginal scanning helps the radiologist to diagnose with confidence.
Aim: To ascertain the etiological factors for post-menopausal bleeding by transvaginal ultrasound and to analyze the incidence of benign and malignant causes.
Materials and Methods: 180 patients referred for transvaginal scanning with complaints of post-menopausal bleeding were studied over a period of 12 months at our institute. All data were recorded and analysed.
Results: After applying inclusion criteria 50 patients who underwent transvaginal sonography with their results analysed, 23 patients (46%) had cervical lesions. 24 patients (48%) had endometrial lesions as a cause of their bleeding. Only three patients (6%) had ovarian mass contributing to their bleeding. The benign causes of post-menopausal bleeding are attributed to 28% and malignant causes to 72% as per our study.
Conclusion: Transvaginal ultrasound is the modality of choice for detection of benign and malignant lesions of cervix, ovaries and endometrium. Though complimentary, trans abdominal sonography is necessary to evaluate the paraaortic nodal involvement and liver metastases