Methods of Endometrial Evaluation

摘要: The clinical decision to perform endometrial sampling is dependent on medical history, physical examination, laboratory data, imaging studies, and patient age. Abnormal uterine bleeding (AUB) may be secondary structural lesions including polyps, adenomyosis, leiomyoma, or malignancy hyperplasia nonstructural coagulopathies, ovulatory dysfunction, endometrial, iatrogenic, not yet specified, which together comprise the acronym PALM-COEIN (see Chap. 1 for AUB classification). A transvaginal ultrasound often performed first determine presence of a lesion. However, first-line method evaluation (imaging versus tissue sampling) depends suspicion diagnoses listed above.