[Transvaginal ultrasonography vs. hysteroscopy. Study of 288 cases of abnormal uterine bleeding].

Abnormal uterine bleeding is the most common symptom of endometrial pathology. In the past, D and C (Dialation and Curettage) was the best way for both diagnosis and therapy. We used hysteroscopy in the study of endometrial pathology. The purpose of this study was to evaluate transvaginal ultrasound testing compared to hysteroscopy. 288 women with abnormal uterine bleeding underwent transvaginal tests and hysteroscopies with biopsy and curettage. The study reported a 0.91 sensitivity and 0.89 specificity of the transvaginal probe. The authors consider the transvaginal examination a good to evaluate endometrial pathology. Furthermore, they have found the endometrial thickness and pattern with the TVG probe of value as the first step in any endometrial diagnosis, with or without bleeding.