Endometrial fluid
Citation, DOI, disclosures and article data
Citation:
Weerakkody Y, Knipe H, Endometrial fluid. Reference article, Radiopaedia.org (Accessed on 22 Nov 2024) https://doi.org/10.53347/rID-44981
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rID:
44981
Article created:
Disclosures:
At the time the article was created Yuranga Weerakkody had no recorded disclosures.
View Yuranga Weerakkody's current disclosures
Last revised:
Disclosures:
At the time the article was last revised Jeremy Jones had no recorded disclosures.
View Jeremy Jones's current disclosures
Revisions:
3 times, by
2 contributors -
see full revision history and disclosures
Systems:
Sections:
Synonyms:
- Fluid in endometrial cavity
- Fluid in the endometrial cavity
- Fluid in the endometrium
Fluid in the endometrial cavity can result from a number of causes if excessive and associated with distension.
Pathology
There are essentially three types of fluid:
- hydrometra: simple fluid
- hematometra: hemorrhagic content / clot
- pyometra: pus
Premenopausal
- normal (i.e. physiological)
- cervical stenosis
- imperforate hymen
Postmenopausal
Often a concern and some advocate the presence of echogenic fluid or an accompanying abnormal endometrial thickness as an indication for endometrial sampling 1-2.
Some authors suggest sampling if the surrounding endometrium is over 3 mm 2.
- cervical stenosis
- endometrial carcinoma
- endometrial hyperplasia
- endometrial polyp
- cervical polyp
- use of estrogen replacement therapy 5
References
- 1. Takacs P, De Santis T, Nicholas MC et-al. Echogenic endometrial fluid collection in postmenopausal women is a significant risk factor for disease. J Ultrasound Med. 2006;24 (11): 1477-81. Pubmed citation
- 2. Goldstein SR. Postmenopausal endometrial fluid collections revisited: look at the doughnut rather than the hole. Obstet Gynecol. 1994;83 (5 Pt 1): 738-40. Pubmed citation
- 3. Brooks SE, Yeatts-Peterson M, Baker SP et-al. Thickened endometrial stripe and/or endometrial fluid as a marker of pathology: fact or fancy?. Gynecol. Oncol. 1996;63 (1): 19-24. doi:10.1006/gyno.1996.0271 - Pubmed citation
- 4. Zalel Y, Tepper R, Cohen I et-al. Clinical significance of endometrial fluid collections in asymptomatic postmenopausal women. J Ultrasound Med. 1996;15 (7): 513-5. Pubmed citation
- 5. Vuento MH, Pirhonen JP, Mäkinen JI et-al. Endometrial fluid accumulation in asymptomatic postmenopausal women. Ultrasound Obstet Gynecol. 1996;8 (1): 37-41. doi:10.1046/j.1469-0705.1996.08010037.x - Pubmed citation
- 6. Debby A, Malinger G, Glezerman M, Golan A. Intra-uterine fluid collection in postmenopuasal women with cervical stenosis. (2006) Maturitas. 55 (4): 334-7. doi:10.1016/j.maturitas.2006.04.026 - Pubmed
- 7. Takacs P, De Santis T, Nicholas MC, Verma U, Strassberg R, Duthely L. Echogenic endometrial fluid collection in postmenopausal women is a significant risk factor for disease. (2005) Journal of ultrasound in medicine : official journal of the American Institute of Ultrasound in Medicine. 24 (11): 1477-81. Pubmed
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