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CTRI Number  CTRI/2025/05/086381 [Registered on: 06/05/2025] Trial Registered Prospectively
Last Modified On: 06/05/2025
Post Graduate Thesis  Yes 
Type of Trial  Observational 
Type of Study   Follow Up Study 
Study Design  Single Arm Study 
Public Title of Study   utility of transvaginal ultrasonography in detecting endometrial hyperplasia in premenopausal and postmenopausal women 
Scientific Title of Study   utility of transvaginal ultrasonography in detecting endometrial hyperplasia in premenopausal and postmenopausal women 
Trial Acronym  nil 
Secondary IDs if Any  
Secondary ID  Identifier 
NIL  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  dr srungavarapu revathi 
Designation  junior resident (PG) 
Affiliation  shri b.m.patil medical college hospital and research centre 
Address  opd no.2 ,shri b.m.patil medical college hospital and research centre, bangaramma sajjan campus,vijayapura. karnataka 586103 india bijapur karnataka 586103 india

Bijapur
KARNATAKA
586103
India 
Phone  9704471225  
Fax    
Email  revathisrungavarapu@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  DR.s.r bidri 
Designation  professor 
Affiliation  shri b.m.patil medical college hospital and research centre 
Address  opd no 2 shri b.m.patil medical college hospital and research centre,bangaramma sajjan campus,vijayapura bijapur karnataka 586103 india

Bijapur
KARNATAKA
586103
India 
Phone  9704471225  
Fax    
Email  drrevathichoudaryh@gmail.com  
 
Details of Contact Person
Public Query
 
Name  dr srungavarapu revathi 
Designation  junior resident (PG) 
Affiliation  shri b.m.patil medical college hospital and research centre 
Address  OPD NO.2 ,shri b.m.patil medical collage hospital and research centre, bangaramma sajan campus,vijayapura. karnataka 586103 INDIA

Bijapur
KARNATAKA
586103
India 
Phone  9704471225  
Fax    
Email  revathisrungavarapu@gmail.com  
 
Source of Monetary or Material Support  
opd no 2 shri bm patil medical collage hospital and research centre,shri bangaramma sajjan campus, vijayapura,586103. 
 
Primary Sponsor  
Name  DrRevathi 
Address  opd no 2 shri b.m.patil medical college hospital and research centre, bangaramma sajjan campus,vijayapura bijapur karnataka 586103 india 
Type of Sponsor  Other [self] 
 
Details of Secondary Sponsor  
Name  Address 
NIL  NIL 
 
Countries of Recruitment     India  
Sites of Study  
No of Sites = 1  
Name of Principal Investigator  Name of Site  Site Address  Phone/Fax/Email 
dr srungavarapu revathi  shri b.m.patil medical college hospital and research centre  opd no.2 ,shri b.m.patil medical college hospital and research centre, bangaramma sajjan campus,vijayapura 586103
Bijapur
KARNATAKA 
9704471225

revathisrungavarapu@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
Institutional Ethical Clearance Committee  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  , (1) ICD-10 Condition: R935||Abnormal findings on diagnostic imaging of other abdominal regions, including retroperitoneum,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Intervention  NIL  NIL) 
 
Inclusion Criteria  
Age From  35.00 Year(s)
Age To  80.00 Year(s)
Gender  Female 
Details  Presence of symptoms suggestive of endometrial hyperplasia (e.g., abnormal uterine bleeding, pelvic pain) in Pre and post menopausal women who can undergo TVUS examination
 
 
ExclusionCriteria 
Details  1. Pregnancy or suspected pregnancy
2. Known or suspected endometrial cancer
3. Previous hysterectomy or endometrial ablation
4. Current or recent (within 6 months) use of hormone replacement therapy (HRT)
5. History of pelvic radiation therapy
6. Inability to undergo TVUS examination due to medical or physical limitations
7. Known allergy to ultrasound gel or other materials used during TVUS examination
 
 
Method of Generating Random Sequence    
Method of Concealment    
Blinding/Masking    
Primary Outcome  
Outcome  TimePoints 
Diagnostic Accuracy of TVUS for Endometrial Hyperplasia
The main outcome is assessing how accurately transvaginal ultrasonography (TVUS) can detect endometrial hyperplasia in premenopausal and postmenopausal women.
 
4 WEEKS AND 8 WEEKS. 
 
Secondary Outcome  
Outcome  TimePoints 
Optimal Endometrial Thickness Thresholds: Determining appropriate endometrial thickness cut-off values for diagnosing hyperplasia in both premenopausal and postmenopausal groups.
Morphological Patterns on TVUS: Identifying specific endometrial patterns (e.g., diffuse thickening or irregular contours) associated with hyperplasia, aiding in distinguishing between types of hyperplasia.
Recommendations for Further Testing: Evaluating when additional procedures, like biopsy or hysteroscopy, are warranted based on TVUS findings.
Utility Across Menopausal Status: Comparing TVUS diagnostic effectiveness between premenopausal and postmenopausal women, factoring in hormonal variations. 
In women aged 35-80 years 
TO KNOW THE THICKNESS  8 WEEKS 
 
Target Sample Size   Total Sample Size="100"
Sample Size from India="100" 
Final Enrollment numbers achieved (Total)= "Applicable only for Completed/Terminated trials"
Final Enrollment numbers achieved (India)="Applicable only for Completed/Terminated trials" 
Phase of Trial   N/A 
Date of First Enrollment (India)   17/05/2025 
Date of Study Completion (India) Applicable only for Completed/Terminated trials 
Date of First Enrollment (Global)  Date Missing 
Date of Study Completion (Global) Applicable only for Completed/Terminated trials 
Estimated Duration of Trial   Years="1"
Months="0"
Days="0" 
Recruitment Status of Trial (Global)   Not Applicable 
Recruitment Status of Trial (India)  Not Yet Recruiting 
Publication Details   N/A 
Individual Participant Data (IPD) Sharing Statement

Will individual participant data (IPD) be shared publicly (including data dictionaries)?  

Response - NO
Brief Summary  
Transvaginal ultrasonography (TVUS) plays a significant role in diagnosing endometrial hyperplasia in pre- and post-menopause women.

- Accuracy: TVUS showed an accuracy of 88.25% in premenopause women and 100% in postmenopause women ¹.
- Sensitivity and Specificity: The sensitivity and specificity of TVUS in diagnosing endometrial hyperplasia were 90.7% and 84% in premenopause women, respectively ¹.
- Positive and Negative Predictive Values: The positive predictive value (PPV) and negative predictive value (NPV) of TVUS were 90.7% and 84% in premenopause women, respectively ¹.

TVUS is a valuable diagnostic tool for evaluating abnormal uterine bleeding (AUB) and detecting endometrial hyperplasia, particularly in postmenopause women ¹. The high accuracy and sensitivity of TVUS make it an essential screening method in gynecological practice.

Overall, TVUS is a reliable diagnostic tool for detecting endometrial hyperplasia in pre- and post-menopause women, especially when used in conjunction with other diagnostic methods.
 
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