Postmenopausal endometrium — normal limit?

Asymptomatic patients: endometrial thickness ≤ 11 mm is generally accepted as the upper limit. With postmenopausal bleeding, ≤ 4–5 mm reasonably rules out malignancy; higher values warrant histology.

Best cycle phase for elective pelvic US?

For endometrial and myometrial assessment, early proliferative phase (days 5–10). For ovulation monitoring, serial exams from day 10.

When to indicate US for deep endometriosis?

Transvaginal US with bowel prep is the initial imaging modality for suspected deep endometriosis — assesses anterior and posterior compartments, rectosigmoid, cul-de-sac and uterosacral ligaments.

Report template — Ultrasound of transvaginal with Doppler

When to use

Pelvic US evaluates uterus, adnexa and cul-de-sac; transvaginal is the standard for detailed endometrial and follicular analysis. Indicated for pelvic pain, abnormal bleeding, infertility, ovulation monitoring, IUD assessment and adnexal mass workup.

What to evaluate

Uterus: position, size, contour, myometrial echotexture.
Endometrium: thickness and pattern (cycle phase / post-menopause); focal findings.
Ovaries: size, volume, antral follicles; cysts/masses.
IUD (if applicable): type, position and fundal distance.
Cul-de-sac and free fluid.

Interactive template

Fill the blanks0/17

Exame realizado pelas vias abdominal / suprapúbica e transvaginal. - Bexiga: com paredes regulares e conteúdo anecogênico. - Útero: em anteversão retroversão, medindo x x cm (volume estimado em cm³), de contornos regulares. - Miométrio: com ecotextura característica, sem nódulos conspícuos. Vascularização miometrial de aspecto habitual ao Doppler colorido. - Endométrio: centrado e homoegêneo, com espessura bilaminar de cm, sem focos de vascularização anômala. - Artérias uterinas: com padrão espectral habitual. - Ovário direito: medindo x x cm (volume estimado em cm³), de ecotextura preservada, com cistos / folículos de até cm. - Ovário esquerdo: medindo x x cm (volume estimado em cm³), de ecotextura preservada, com cistos / folículos de até cm. Ao estudo Doppler colorido, não foram observados focos de vascularização anômala nos ovários. - Peritôneo e retroperitôneo: ausência de líquido livre ou coleções detectáveis na cavidade pélvica. Conclusão: - Ultrassonografia pélvica transvaginal com Doppler sem alterações significativas.

Template in Brazilian Portuguese (clinical reporting language). Adapt to your service protocol. Not medical advice — the physician reviews, edits and signs.

How to use

Replace each [...] with the exam's measurement or descriptor.
Adapt the conclusion to your service protocol before signing.
Use the template as a starting point — not a replacement for physician review.
In Laudos.AI, dictate findings in natural speech and the AI structures text in this format for review.

Frequently asked

Postmenopausal endometrium — normal limit?: Asymptomatic patients: endometrial thickness ≤ 11 mm is generally accepted as the upper limit. With postmenopausal bleeding, ≤ 4–5 mm reasonably rules out malignancy; higher values warrant histology.
Best cycle phase for elective pelvic US?: For endometrial and myometrial assessment, early proliferative phase (days 5–10). For ovulation monitoring, serial exams from day 10.
When to indicate US for deep endometriosis?: Transvaginal US with bowel prep is the initial imaging modality for suspected deep endometriosis — assesses anterior and posterior compartments, rectosigmoid, cul-de-sac and uterosacral ligaments.

References

IDEA Group Consensus, 2016.
ACR Practice Parameter for the Performance of Pelvic Ultrasound.