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Vaginal ultrasound identifies intrauterine (intracavitary) fluid in almost 8% of patients with postmenopausal bleeding (PMB). To determine the prevalence and types of bacteria in endometrial aspirates from such patients, investigators at a Hong Kong clinic specializing in PMB conducted a retrospective cohort study of 228 women (mean age, 75) with PMB who presented with intracavitary fluid and no evidence of uterine tenderness or cervical masses.
Intracavitary fluid had been aspirated with a conventional endometrial biopsy suction curette and cultured. Results were as follows:
Pus, clear fluid, and bloody fluid were noted in 48%, 43%, and 9% of women, respectively.
Bacteriologic culture was positive in 63% of women overall (positivity was not s…