Use of ultrasonography in the difficult postmenopausal dilation and curettage.

Six patients from our series of 21 cases are presented to illustrate the use of real-time ultrasound to complete the D&C. Thirteen of the 21 had concomitant ultrasound because of stenosis of the cervix or vagina, three because of previous vaginal procedures that distorted the anatomy, and five because of concern regarding perforation.