PT  - JOURNAL ARTICLE
AU  - Fadi Alfhaily
AU  - Ayman A. A. Ewies
TI  - The First-Line Investigation of Postmenopausal Bleeding: Transvaginal Ultrasound Scanning and Endometrial Biopsy May Be Enough
AID  - 10.1111/IGC.0b013e3181a83387
DP  - 2009 Jul 01
TA  - International Journal of Gynecologic Cancer
PG  - 892-895--892-895
VI  - 19
IP  - 5
4099  - http://ijgc.bmj.com/content/19/5/892-895.short
4100  - http://ijgc.bmj.com/content/19/5/892-895.full
SO  - Int J Gynecol Cancer2009 Jul 01; 19
AB  - Postmenopausal bleeding is a common problem in clinical practice with significant implications; however, the diagnostic strategies often vary among different centers. In the recent years, there was a trend to adopt less invasive procedures without compromising efficacy and safety. There is continuous debate about the different available modalities for investigation, and a large number of studies were conducted to define their roles. Some authors recommended that hysteroscopy should be the standard investigation procedure for women with postmenopausal bleeding. Nonetheless, there is a strong evidence to suggest that transvaginal ultrasound scanning, with or without endometrial biopsy, is a safe and more cost-effective initial tool in investigating these women. This commentary highlights this important issue and discusses the role of these different modalities.