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Re: Alternative to hysteroscopyFrom: Mr J K Gupta MD, MRCOG (gupta_jk@candw.ky)Thu Mar 18 14:26:51 1999
At Sun, 14 Mar 1999, Mary Floria Whalan wrote: > >My age is 66. > >If a hysterscopy can't be done because cervix unable to be found what >attentive is there to see into the womb for any sigh of a problem. Two >occurrences of spotting over a year - months apart on estrogen and >progesterone for about seven years. They wish to perform an >hysterectomy without knowing if cancer cells are present or not. It >seems this is only for prudence sack. A transvaginal ultrasound to check endometrial thickness could help. If the endometrium is found to be thick and cannot be sampled then one may consider hysterectomy. Serial ultrasound may be indicated if endometrium is thin and spotting recurs. However the possibility of endometrial cancer is quite low if you have been on adequate amount of progestogen while on HRT. Sometimes endometrial cell sampling is possible with ultrasound guided needle through the uterus but I have no data as to how adequate this might be.
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