A 60-year-old female asked:
i am having an endo sweeping. i have a 3-5 cm buildup of the uterine lining.i have never had any other symptoms (no bleeding, cramps, pain, etc.)i am 6o, on bhrt for 20 years.why would this be needed?
2 doctor answers
Dr. AARATHI Cholkeri-Singh answered
18 years experience Gynecology
Rule out cancer: A typical postmenopausal endometrial lining measurement should be <4-5 mm because the ovaries are not actively producing hormones to thicken up the lining. Being on hrt with estrogen alone increases the risk of uterine cancer, therefore you should be on both estrogen and Progesterone to reduce this risk. This combination should keep your lining thin. Sometimes a benign polyp can thicken lining.
Answered on Jun 30, 2014
Dr. Michael Traub answered
18 years experience Fertility Medicine
Cancer: That is very thick. I assume you mean 35 mm (or 3.5 cm). When the lining builds up like that, the assumption, until proven otherwise, is that you have uterine cancer. So the evaluation is absolutely necessary. And even if it is not cancer, you will need a change in your hormones.
Answered on Jan 16, 2013
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