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Transvaginal Ultrasound for the Diagnosis of Abnormal Uterine Bleeding


Clinical Obstetrics and Gynecology: March 2017 - Volume 60 - Issue 1 - p 11–17
doi: 10.1097/GRF.0000000000000257
Imaging in Gynecology

Transvaginal ultrasound is the first-line imaging test for the evaluation of abnormal uterine bleeding in both premenopausal and postmenopausal women. Transvaginal ultrasound can be used to diagnose structural causes of abnormal bleeding such as polyps, adenomyosis, leiomyomas, hyperplasia, and malignancy, and can also be beneficial in making the diagnosis of ovulatory dysfunction. Traditional 2-dimensional imaging is often enhanced by the addition of 3-dimension imaging with coronal reconstruction and saline infusion sonohysterography. In this article we discuss specific ultrasound findings and technical considerations useful in the diagnosis of abnormal uterine bleeding.

*Department of Obstetrics and Gynecology, Division of Reproductive Endocrinology, Wayne State University, Southfield, Michigan

Department of Obstetrics and Gynecology, New York University School of Medicine, New York

S.R.G. is a consultant for Cook OBGYN and Cooper surgical and has received an equipment loan from Philips ultrasound. The other author declares that he has nothing to disclose.

Correspondence: Steven R. Goldstein, MD, Department of Obstetrics and Gynecology, New York University School of Medicine, 530 1st Avenue Suite 10 N, New York, NY. E-mail:

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