Shafi Ali Alsharari
General Practitioner, Resident of Emergency Department, AlQurayyat General Hospital, Saudi Arabia
Publications
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Research Article
UPDATES IN DIAGNOSIS AND MANAGEMENT OF POSTMENOPAUSAL BLEEDING AND ITS ASSOCIATED ANXIETY: A SYSTEMATIC REVIEW
Author(s): Ahmed Baker A Alshaikh*, Fawaz E Edris, Aryam Abdullah Alhassan, Raghad Faris Ismail Alsabilah, Farah Turki Alfuhigi and Shafi Ali Alsharari
Objectives: To review the diagnosis and management of postmenopausal bleeding (PMB). Methods: We conducted a thorough search of PubMed, SCOPUS, Web of Science, and Google Scholar to find pertinent literature. Rayyan QRCI was utilized during the entire process. Results: We included twelve studies with a total of 1859 participants. Hysteroscopy is the most acceptable tool to initially manage cases with PMB to stop the bleeding. Endometrial biopsies have been demonstrated to be beneficial in cases when malignancy is suspected. Spiral artery power and velocity addition Doppler flow mapping can help distinguish between benign disease and endometrial cancer in patients with thicker endometrium. TVS with endometrial thickness (ET) assessment is a non-invasive, easily accessible, and costeffective method of diagnosis, it s.. Read More»