Skip to main content Accessibility help
×
Hostname: page-component-848d4c4894-75dct Total loading time: 0 Render date: 2024-05-24T18:54:03.623Z Has data issue: false hasContentIssue false

3 - Investigation

Published online by Cambridge University Press:  05 June 2014

Mary Ann Lumsden
Affiliation:
University of Glasgow
Margaret Rees
Affiliation:
University of Oxford
Get access

Summary

The purpose of uterine cavity evaluation is to make an accurate diagnosis of the cause of abnormal uterine bleeding, in order that therapy can be appropriately tailored to the woman. This chapter reviews the accuracy and efficacy of currently available tests used to evaluate the uterine cavity. Uterine size can be assessed on bimanual examination; if the uterus is greater in size than 12 weeks of gestation, it may be palpable abdominally. Women with amenorrhoea (no menstrual bleeding for 6 months) should have a full history and examination. Dilatation and curettage (D&C) used to be the method of choice for assessing the uterine cavity. Other methods for assessing the uterine cavity include hysteroscopy, ultrasound, Doppler ultrasound, and outpatient endometrial biopsy. Women presenting with postmenopausal bleeding require urgent referral for pelvic ultrasound and further testing, with endometrial biopsy and/or hysteroscopy undertaken depending on the initial ultrasound result.
Type
Chapter
Information
Publisher: Cambridge University Press
Print publication year: 2014

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

Save book to Kindle

To save this book to your Kindle, first ensure coreplatform@cambridge.org is added to your Approved Personal Document E-mail List under your Personal Document Settings on the Manage Your Content and Devices page of your Amazon account. Then enter the ‘name’ part of your Kindle email address below. Find out more about saving to your Kindle.

Note you can select to save to either the @free.kindle.com or @kindle.com variations. ‘@free.kindle.com’ emails are free but can only be saved to your device when it is connected to wi-fi. ‘@kindle.com’ emails can be delivered even when you are not connected to wi-fi, but note that service fees apply.

Find out more about the Kindle Personal Document Service.

  • Investigation
  • Mary Ann Lumsden, University of Glasgow, Margaret Rees, University of Oxford
  • Book: Menstrual Problems for the MRCOG and Beyond
  • Online publication: 05 June 2014
  • Chapter DOI: https://doi.org/10.1017/CBO9781107445208.004
Available formats
×

Save book to Dropbox

To save content items to your account, please confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your account. Find out more about saving content to Dropbox.

  • Investigation
  • Mary Ann Lumsden, University of Glasgow, Margaret Rees, University of Oxford
  • Book: Menstrual Problems for the MRCOG and Beyond
  • Online publication: 05 June 2014
  • Chapter DOI: https://doi.org/10.1017/CBO9781107445208.004
Available formats
×

Save book to Google Drive

To save content items to your account, please confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your account. Find out more about saving content to Google Drive.

  • Investigation
  • Mary Ann Lumsden, University of Glasgow, Margaret Rees, University of Oxford
  • Book: Menstrual Problems for the MRCOG and Beyond
  • Online publication: 05 June 2014
  • Chapter DOI: https://doi.org/10.1017/CBO9781107445208.004
Available formats
×