Doctors challenge Australian postmenopausal bleeding advice

A Queensland group proposes a lower threshold for investigation

Australian guideline advice that endometrial thickness of 4mm is the threshold for further investigation has been questioned by a group of Queensland doctors.

ultrasound - middle-aged woman patient

The doctors argue that using a lower cutpoint for endometrial thickness as measured on vaginal ultrasound would bring better sensitivity and specificity.

This would bring Australian guidelines into line with current literature and guidelines from the European and Japanese medical oncology societies that both use 3mm, the authors

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