Abstract

ENDOMETRIAL THICKNESS DURING MENSTRUAL CYCLE IN THE REPRODUCTIVE AGED WOMEN ADMITTED TO THE IMAM KHOMEINI HOSPITAL, AHVAZ, IRAN

Razieh Mohammadjafari¹, Kobra Shojaee¹*, Forough Jagir²

Abstract

Background: The endometrial thickness during the menstrual cycle is variable and increasing the endometrial thickness may be normal without any pathological reason. The primary aim of this study was to determine the endometrial thickness in the proliferative and secretory phases in the reproductive aged women, for avoiding the aggressive diagnosis procedures. Methods: This was a descriptive analytical study on which 120 women in the reproductive age whoreferred to the Imam Khomeini hospital for routine check-up evaluated with transvaginalsonography in the proliferative and secretary phases. The endometrial thickness was measured and women who their endometrial thickness was more than 15 mm, reevaluated in proliferative phase at the next cycle. The data entry and analyzing have done using SPSS and Chi-Square and t-test were used for statistical purposes. Results: The mean endometrial thickness in the proliferative phase was 8.8± 3.1mm and in the secretary phase was 12.1± 4.7. Totally 47 (39%) of women had endometrial thickness more than 15mm who reevaluated in the next cycle. In the reevaluation 83% of these women had normal thickness and 27% had abnormal (endometrial thickness ≥15mm) who referred for further evaluations.Conclusion: This study showed that; in the absence of risk factors for endometrial cancer and clinical signs and symptoms, only the increase of endometrial thickness is not a factor to perform aggressive procedures.

Keywords: Endometrial thickness, Transvaginalsonography, Proliferative phase, Secretary Phase.