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Journal of Ultrasound in Medicine, Vol 14, Issue 7 503-507, Copyright © 1995 by American Institute of Ultrasound in Medicine


JOURNAL ARTICLE

Transvaginal color Doppler assessment of endometrial status in normal postmenopausal women: the effect of hormone replacement therapy

F. Bonilla-Musoles, M. J. Ballester, M. C. Marti, F. Raga and N. G. Osborne
Department of Obstetrics and Gynecology, Hospital Clinico Universitario, Valencia, Spain.

We used transvaginal color Doppler sonography to study the effects of hormone replacement therapy on the endometrial structure and vascular flow of 345 normal postmenopausal women. We studied women taking estrogen replacement alone, continuous combined estrogen and progestogen, and estrogen followed sequentially by estrogen-progestogen combination. Endometrial measurements prior to the initiation of hormone replacement therapy were used as baseline values. An increase in endometrial thickness was seen soon after initiation of hormone replacement therapy (P < 0.0001). Hyperplasia or adenocarcinoma was found only when endometrial thickness was greater then 9 mm. No correlation was found between hormone replacement therapy and the occurrence of endometrial hyperplasia or adenocarcinoma.





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Copyright © 1995 by the American Institute of Ultrasound in Medicine.