Skip to content
DraconiticResearch
Search Sources API
210,043 studies31 sourcesUpdated 6 min ago
Peer-reviewedCC BY 4.0Current Medical Imaging

Pelvic Ultrasound Features of Abnormal Uterine Bleeding

  • Rawan Abdeen1
  • Abdulrahman S. Almalki1
  • Hassan S. Rahmatullah1
  • Salman M. Almadni1
  • Samaher F. Almehmadi2
  • Naglaa Elsayed1,3
  • Afnan M. F. Darwesh1
  • Fahad Almutairi1
  1. 1Department of Radiologic Sciences, Faculty of Applied Medical Sciences, King Abdulaziz University, Jeddah, Saudi Arabia
  2. 2Department of Radiology, King Abdulaziz University Hospital, Jeddah, Saudi Arabia
  3. 3Department of Radiology, Faculty of Medicine, Cairo University, Cairo, Egypt
Read full textDOICite

Abstract

Introduction: Abnormal uterine bleeding (AUB) can adversely affect a woman’s life. This condition is experienced by almost 30% of women of reproductive age and nearly 50% of perimenopausal women. This study was conducted to assess the diagnostic value of pelvic ultrasonography in detecting structural causes of abnormal uterine bleeding, and to compare age-related differences between the ultrasonographic findings in early reproductive women, late reproductive women, and menopausal women.

Materials and Methods: In a retrospective study conducted at King Abdulaziz University Hospital, pelvic ultrasound studies were recorded from January 2018 to January 2020. A total of 711 female patients presenting with AUB were examined via pelvic ultrasound inspections, with 169 patients meeting the inclusion criteria for this study. The age groups and sonographic findings of these patients were recorded and classified into three groups.

Results: This study demonstrated that ovarian cysts were most common in both the early and late reproductive groups (27.11% and 22.56%, respectively), followed by enlargement of the ovaries in the early reproductive group (12.96%) and enlargement of the uterus in the late reproductive group (22.56%). In the menopausal group, fibroids were the most common finding (24.67%). Despite the high prevalence of ovarian cysts across all groups, the majority were likely benign. However, the presence of uterine enlargement and fibroids warrants further investigation due to the potential clinical implications of these conditions.

Discussion: This study illustrates the applicability and efficacy of pelvic ultrasound procedures in detecting all types of pathologies in the various stages of reproduction. Ovarian cysts and enlargement of the uterus among younger patients and the presence of fibroids in the menopausal cohort were among the high prevalence range of findings well visualized through the use of ultrasound.

Conclusion: This study establishes age-related patterns in ultrasound findings among female patients with AUB. Both the early and late reproductive groups had ovarian cysts, while fibroids were reported to be common in the menopausal group. Knowledge of the age-related distribution of these findings across all stages of the reproductive system may enable sonographers to make informed clinical decisions and enhance patient care.

Related

  1. Magnitude of Thyroid Disorders in Patients with Abnormal Uterine Bleeding
    Sankalpa Addamane Jayachandra, Jayanthy T
    CureusPeer-reviewedCC BYFull textGeneral medicineEurope PMC
  2. Hypothyroidism Versus Hyperthyroidism in Patients With Abnormal Uterine Bleeding: An Observational Study
    Sheelu Sharma, Arpana Singhal, Reshu Gupta +4
    CureusPeer-reviewedCC BYFull textGeneral medicineEurope PMC
  3. Prevalence and Pattern of Thyroid Dysfunction Among Women of Reproductive Age With Abnormal Uterine Bleeding: A Prospective Observational Study
    Harshita Mishra, Richa Rathoria, Rekha Devi +5
    CureusPeer-reviewedCC BYFull textGeneral medicineEurope PMC
  4. Ultrasound parameters for predicting high bleeding risk and efficacy of uterine artery embolization in gestational sac-type cesarean scar pregnancy: a retrospective single-center study
    Quanlin Ren, Tian Tian, Hong Luo
    Quantitative imaging in medicine and surgeryPeer-reviewedCC BY-NC-NDFull textMedical imaging & radiologyEurope PMC
  5. Clinical and Metabolic Predictors of Abnormal Uterine Bleeding in Women With Type 2 Diabetes Mellitus: A Retrospective Cohort Study.
    Ayisha Ejaz Bhutta, Zubia Bugti, Rizwana Naz +4
    CureusPeer-reviewedCC BYFull textEndocrinology & metabolismEurope PMC

Cite

BibTeXRIS
BibTeX
@article{abdeen2026pelvic,
  title = {{Pelvic Ultrasound Features of Abnormal Uterine Bleeding}},
  author = {Rawan Abdeen and Abdulrahman S. Almalki and Hassan S. Rahmatullah and Salman M. Almadni and Samaher F. Almehmadi and Naglaa Elsayed and Afnan M. F. Darwesh and Fahad Almutairi},
  journal = {Current Medical Imaging},
  year = {2026},
  month = jun,
  doi = {10.2174/0115734056275637260525055216},
  url = {https://doi.org/10.2174/0115734056275637260525055216},
  note = {CC BY 4.0},
}
RIS
TY  - JOUR
TI  - Pelvic Ultrasound Features of Abnormal Uterine Bleeding
AU  - Rawan Abdeen
AU  - Abdulrahman S. Almalki
AU  - Hassan S. Rahmatullah
AU  - Salman M. Almadni
AU  - Samaher F. Almehmadi
AU  - Naglaa Elsayed
AU  - Afnan M. F. Darwesh
AU  - Fahad Almutairi
PY  - 2026
DA  - 2026/06/03
JO  - Current Medical Imaging
DO  - 10.2174/0115734056275637260525055216
UR  - https://doi.org/10.2174/0115734056275637260525055216
AB  - Introduction: Abnormal uterine bleeding (AUB) can adversely affect a woman’s life. This condition is experienced by almost 30% of women of reproductive age and nearly 50% of perimenopausal women. This study was conducted to assess the diagnostic value of pelvic ultrasonography in detecting structural causes of abnormal uterine bleeding, and to compare age-related differences between the ultrasonographic findings in early reproductive women, late reproductive women, and menopausal women.  Materials and Methods: In a retrospective study conducted at King Abdulaziz University Hospital, pelvic ultrasound studies were recorded from January 2018 to January 2020. A total of 711 female patients presenting with AUB were examined via pelvic ultrasound inspections, with 169 patients meeting the inclusion criteria for this study. The age groups and sonographic findings of these patients were recorded and classified into three groups.  Results: This study demonstrated that ovarian cysts were most common in both the early and late reproductive groups (27.11% and 22.56%, respectively), followed by enlargement of the ovaries in the early reproductive group (12.96%) and enlargement of the uterus in the late reproductive group (22.56%). In the menopausal group, fibroids were the most common finding (24.67%). Despite the high prevalence of ovarian cysts across all groups, the majority were likely benign. However, the presence of uterine enlargement and fibroids warrants further investigation due to the potential clinical implications of these conditions.  Discussion: This study illustrates the applicability and efficacy of pelvic ultrasound procedures in detecting all types of pathologies in the various stages of reproduction. Ovarian cysts and enlargement of the uterus among younger patients and the presence of fibroids in the menopausal cohort were among the high prevalence range of findings well visualized through the use of ultrasound.  Conclusion: This study establishes age-related patterns in ultrasound findings among female patients with AUB. Both the early and late reproductive groups had ovarian cysts, while fibroids were reported to be common in the menopausal group. Knowledge of the age-related distribution of these findings across all stages of the reproductive system may enable sonographers to make informed clinical decisions and enhance patient care.
SN  - 1573-4056
ER  -