CMA Infobase: Clinical Practice Guidelines Database

Posted by: admin on: April 20, 2011

Objective is to formulate clinical recommendations for the assessment of endometrial thickening when it is found on ultrasound in a postmenopausal patient without bleeding.


Recommendations

  • Transvaginal ultrasound should not be used as screening for endometrial cancer.
  • Endometrial sampling in a postmenopausal woman without bleeding should not be routinely performed.
  • Indications for tissue sampling of the endometrium in bleeding postmenopausal women with an endometrial
  • thickness of greater than 4 to 5 mm should not be extrapolated to asymptomatic women.
  • A woman who has endometrial thickening and other positive findings on ultrasound, such as increased vascularity, inhomogeneity of endometrium, particulate fluid, or thickened endometrium over 11 mm, should be referred to a gynaecologist for further investigations.
  • Decisions about further investigations should be made on a case-by-case basis in asymptomatic women with increased endometrial thickening and risk factors for endometrial cancer such as obesity, hypertension and late menopause.
  • In asymptomatic women on tamoxifen, a routine ultrasound for endometrial thickening should not be performed.
  • Not all postmenopausal women who have asymptomatic endometrial polyps require surgery.
  • Women found to have asymptomatic polyps on ultrasound should be triaged for intervention according to size of the polyp, age, and other risk factors.
  • · Ensure that women with asymptomatic thickening and endometrial polyps found on ultrasound are managed appropriately.
  • Adoption of these recommendations would save postmenopausal women unnecessary anxiety, pain and risk of procedural complication.
  • It is also expected to decrease the cost to the health system by eliminating unnecessary interventions.

http://www.cma.ca/index.php?ci_id=54490&la_id=1&cpgId=11141

Leave a Reply

Your email address will not be published. Required fields are marked *

*

CMHF Accredited by Maharashtra Medical Council

Subscribe to our Posts

Enter your email address:



  • drchasrani: Difficult to get such a data, authenticated at that. Try Times of India online library
  • rakesh pore: hi, where can i get genuine information about "10 most common drugs sold in india?" i want it for a local project
  • nilesh dutta: sir, Plz give detail about MBA Sports Management Thanks and Regards

Calculate Your Body Mass Index



Check your Body Mass Index »

    Cherry - 60 kcal in 100g
    60kcal
    Cherry - 60 kcal in 100g
    by Noni