STM publisher Elsevier, Netherlands, has announced the publication of a clinical guide by the European Menopause and Andropause Society (EMAS) in the journal Maturitas. The guide is on endometrial assessment in peri and postmenopausal women with summary recommendations.
The main onus of endometrial assessment is to exclude carcinoma of the endometrium and premalignant endometrial hyperplasia, according to the EMAS guide. Assessment of the endometrium in the absence of bleeding should be limited to women at high risk of endometrial cancer. Transvaginal ultrasound scanning (TVS) is used for initial assessment to be followed by endometrial biopsy to be undertaken as an outpatient procedure if possible. Hysteroscopy allows direct visualisation of the endometrial cavity and any focal lesions. Should results be inconclusive and abnormal or postmenopausal bleeding persist, transvaginal ultrasound should be repeated and hysteroscopy performed.
These and other recommendations presented in the clinical guide, by Eva Dreisler, Lars Grønlund Poulsen and others.
Maturitas is an international multidisciplinary peer reviewed scientific journal of midlife health and beyond, publishing original research, reviews, consensus statements and guidelines. The scope encompasses all aspects of post-reproductive health in both genders ranging from basic science to health and social care.
