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Document Type

Original Article

Abstract

Background: Menorrhagia (menstrual bleeding >80 ml per period) is one of the most common problems in gynecology. Menorrhagia is a menstrual period with excessively heavy flow and falls under the larger category of abnormal of abnormal uterine bleeding (AUB). Aim of the work: Is to determine how endometrial thicknesses, uterine volume, and intra-ovarian and uterine blood flow relate to one another in menorrhagia cases with the aid of the color Doppler ultrasound. Material and Methods: A set of 100 female patients enrolled in a case-control study, who visited the Department of Obstetrics and Gynecology at Al-Azhar University Hospitals (Al-Hussein& Sayed Galal) participated in January 2021 to March 2022. Results: Compared to adeno and polyps, fibroid menorrhagic women had significantly higher length, anteroposterior, and volume (P≤0.05). Compared to women with fibroid, adenomyosis, or polyp menorrhagia, those with menorrhagia had a considerably larger endometrium (P=0.049). Nevertheless, there was no statistically significant association (P=0.992) between menorrhagia subtypes and transverse uterine measurement among menorrhagic women. Conclusion: Trans-vaginal Colour Doppler can be used as an adjuvant diagnostic tool to evaluate blood flow in the uterine and intraovarian arteries, as vascular alterations may be a significant factor in the development of menorrhagia.

Keywords

Doppler; Menorrhagia; Normal Menses; Women

Subject Area

Obstetrics and Gynecology

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