Sonographic Findings of Uterus and Ovaries in Normal Pre- and Post-menopausal Women
MA YUREE JIRAPINYO, M.D.*, PIBOON LEELAPATANA, M.D.**, URUSA THEPPISAI, M.D.*, SOMPORN KRASAESUB, M.S. (Biostatistics)***
Affiliation : *Department of Obstetrics and Gynecology, Faculty of Medicine, Ramathibodi Hospital. **Department of Obstetrics and Gynecology, Vichaiyut Hospital. Bangkok 10400. ***Department of Research Center, Ramathibodi Hospital, Mahidol University, Bangkok 10400, Thailand.
Abstract To investigate the significant findings of ultrasonography before hormonal replacement therapy (HRT) was given in normal pre- and post-menopausal women. Sixty eight Thai pre- and post-menopausal women with no previous HRT were recruited into the study. They were divided into 22 pre-menopausal women (group 1), 28 post-menopausal women of:::; S years (group II) and 18 post-menopausal women of> S years (group III). Their mean age was 48.2, 50.2 and 57.3 years. respectively. Myoma uteri was found in 10 ( 45.5% ), 2 (7.1 o/c) and I (5.6o/c) in group I. II and III. There were 2 (9 .I o/c). 3 (10.7o/r), 3 ( 16.7o/c) cases of ovarian tumor in these three groups respectively. The detection rate of ovaries from ultrasound was 90.7 per cent in group L 89.1 per cent in group II and III. The corpus to cervix ratio in the three groups was 2.3. 2.4 and 2.3, respectively. Uterine volume in nulliparous and multiparous pre-menopausal women was 56.6 ml and 74.2 ml, but in group II and III were 60.1 ml and 37.1 ml respectively. Endo- metrial thickness was significantly different in group I, II and III (7.2, 4 and 2.9 mm.) Left and right ovarian volume of group I was significantly larger than that of group II and group III. In conclusion, the ultrasonography is highly recommended to detect uterine and ovarian abnormalities before HRT is given in pre- and post-menopausal women.
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