Abstract:

Obesity is associated with many problems, including gynecological diseases. Affecting various metabolic pathways and disturbing hormonal balance can cause anovulation, abnormal uterine bleeding, endometrial polyps, endometrial hyperplasia and cancer. The main source of estrogen in the postmenopausal period is the peripheral aromatization of androgen in the fat tissue. Increased levels of estrogen along with increased fat tissue with obesity can affect endometrial thickness measured by ultrasound. In the assessment of obesity can be used measurements such as body mass index (BMI), back/hole ratio, back circle, back/boy ratio, neck circle. The study was aimed at studying the relationship of the BCI and back/belly ratio with endometrial pathologies and endometrial thickness measured by ultrasound in postmenopausal patients. Tools and Methods: Between February 2020 and April 2020 Zonguldak Women-Generation and Child Diseases Hospital ginecology clinic with the cause of abnormal uterine bleeding and endometrial biopsy planned patients were taken the size, weight, back and back measurements. The patient’s BMI and bacterial ratio were calculated from the measurements obtained. Diagnoses of endometrial biopsy pathology and endometrial thicknesses measured by ultrasound during routine examination of patients in the postmenopausal period were recorded. Results: Diagnoses of endometrial pathology in patients and no difference was found between the bacterial/calculate ratio (p=0,091), the BCI values (p=0,094) and the BCI groups (p=0,194, p=0,121). The endometrial thickness of patients in postmenopausal period, measured by ultrasound, has not been distinguished in terms of the BCI groups and the back/knee ratio (respectively p=0,879 and p=0,935). In our study, there was no difference between endometrial pathologies and endometrial thickness measurements in the postmenopausal period in terms of BCI groups and bacterial/bacterial ratio. In the assessment of obesity, different results can be obtained with the use of different methods, the addition of biochemical parameters and the increase in the number of patients.

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