TY - JOUR T1 - The First-Line Investigation of Postmenopausal Bleeding: Transvaginal Ultrasound Scanning and Endometrial Biopsy May Be Enough JF - International Journal of Gynecologic Cancer JO - Int J Gynecol Cancer SP - 892-895 LP - 892-895 DO - 10.1111/IGC.0b013e3181a83387 VL - 19 IS - 5 AU - Fadi Alfhaily AU - Ayman A. A. Ewies Y1 - 2009/07/01 UR - http://ijgc.bmj.com/content/19/5/892-895.abstract N2 - 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. ER -