Doppler evaluation of endometrial polyps

Introduction

Endometrial polyps are a common cause of abnormal uterine bleeding. Ultrasound is the most accepted investigation to evaluate them. However, the diagnosis can be difficult and even missed on transabdominal and grayscale imaging. Our study aims to assess the evaluation of endometrial polyps on transvaginal color Doppler.

Patients and methods

A prospective study with performance of transvaginal Doppler and saline infusion sonohysterography with histopathological correlation.

Results

The pedicle artery sign on transvaginal color Doppler sonography was found to have sensitivity of 86.67%, accuracy of 86.67% and positive predictive value of 100%.

Conclusion

Addition of Doppler to transvaginal sonography and Saline infusion Sonohysterography improves characterization and diagnosis of endometrial lesions.