Hysteroscopic Findings With Histopathologic Report of Endometrium in Patients With Postmenopausal Bleeding

Primary outcomes

1. evaluate hysteroscopic findings in women with postmenopausal bleeding and correlate them with histopathological results of the endometrium

   Time frame: 2 weeks

   All patients in this study will be subjected to the following (as detailed in the attached patient's data sheet).

   I. Clinical Assessment

   • Detailed history including:

   • Duration since menopause
   • Pattern and duration of bleeding
   • Obstetric and medical history
   • General abdominal and pelvic examination

   II. Transvaginal Ultrasound (TVS)

   • Measurement of endometrial thickness
   • Assessment of uterine and adnexal pathology

   III. Hysteroscopic Examination

   Hysteroscopy will be performed using a rigid hysteroscope to evaluate:

   • Endometrial appearance
   • Presence of polyps, hyperplasia, or malignancy

   Hysteroscopic findings will be classified as:

   • Normal (proliferative, secretory, atrophic)
   • Abnormal (polyp, hyperplasia, carcinoma, fibroid) (1,3)

   Criteria suggestive of:

   • Hyperplasia: irregular thickened endometrium, increased vascularity (1,3)
   • Carcinoma: irregular necrotic tissue, atypical vessels, friable surface (1,3)

   IV. Endometrial Sampling

   • Directed biopsy will be taken from s