How accurately can you suspect endometrial carcinoma in PMB?

Endometlial carcmoma is the second commonest gynaecological carcinoma worldwide, which is more frequently present as postmenopausal bleeding in early stages. Evaluation of endometrial thickness by 2D and 3D transvaginal ultrasonography, saline infusion sonography, MRI, blind and hysteroscopic guided endometiial biopsy are the investigations available to evaluate postmenopausal bleeding. Many studies has been conducted to assess and compare the accuracy of each investigation and found to have differences in sensitivity, specificity and predictive values on diagnosing endometrial malignancies. Therefore, systematic analysis of symptoms, risk factors and supportive investigations will give a better prediction of endometrial carcinoma in women presenting with postmenopausal bleeding.