Dr Iram Sarwar, Dr Maria Azam
Objective: The aim of this study was to find out the effectiveness of ultra-sonographic examination of volume of EFC (Endometrial Fluid Collection) for the prediction of endometrial pathology in the asymptomatic post-menopausal females. Methodology: In this study, we analyzed 150 asymptomatic post-menopausal females retrospectively from March 2016 to March 2020. All the patients present with endometrialneoplasia were members of Group-1, and we included the patients present with endometritis, insufficient tissue and endometrial atrophy in Group-2. We compared the patients of both groups with respect to primary (correlation among volume of EFC and endometrial thickness) as well as secondary outcomes (correlation between volume of Endometrial Fluid Collection and characteristics of demography). Results: The findings of this showed that there was no association between volume of Endometrial Fluid Collection and endometrial thickness (P= 0.360). There was no relation between the volume of Endometrial Fluid Collection and characteristics of demography (P> 0.050). But the both volume of Endometrial Fluid Collection and thickness of endometrium were thicker in the patients of Group-1 as compared to the patients of Group-2 (4.80 ±1.90mm vs. 3.70 ±2.50mm; and 5.70 ±9.40mm vs. 2.70 ±2.50mm, respectively) (less than 0.05 was the P value). Conclusion: There is no recommendation of the cutoff values for volume of Endometrial Fluid Collection and endometrial thickness on the basis of the results of this research work. It should be recorded that clinically significant malignancy rate is 2.0%. So, it is much vital to evaluate the endometrial sampling for the post-menopausal females present with Endometrial Fluid Collection. Keywords: Endometrial Fluid Collection, thickness, ultrasonography, retrospectively.