Diagnostic and surveillance of endometrial hyperplasia

Question 1

What diagnostic/surveillance methods in hyperplasia

Answer 1

• Diagnosis requires histological examination.
• Endometrial surveillance should include endometrial sampling. 2% neg pipelle have hyperplasia
• Diagnostic hysteroscopy should be considered
  where outpatient sampling fails or is nondiagnostic.
• Transvaginal ultrasound may have a role in diagnosing endometrial hyperplasia in pre- and postmenopausal women.
• Direct visualisation and biopsy of the uterine cavity using hysteroscopy should be undertaken where
  endometrial hyperplasia has been diagnosed within a polyp or other discrete focal lesion.

Question 2

Cut off of ET on TVS to diagnose hyperplasia

Answer 2

7 mm