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A 49-year-old female asked:

49 yrs old, no period in almost 2 yrs. started bleeding heavy, lasted 1 week. had trans vaginal ultrasound. showed enlarged uterus with heterogeneous myometrium. ill defined endometrium. thickness was 6mm. having d&c with hysterscopy. cancer?

2 doctor answers2 doctors weighed in
Dr. Tinuola Adeyanju
Internal Medicine and Pediatrics 41 years experience
The information you have shared so far does not mean cancer however the D&C with hysteroscopy is diagnostic to find out if there is cancer. It looks like you may have fibroid which is very common by this age and you may be having the bleeding because of the fibroid but it is best to be certain there is no cancer.
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Dr. John Berryman
Obstetrics and Gynecology 56 years experience
At "49", increased stimulation of developing follicles to cause ovulation also increases ovarian estrogen, which thickens the endometrium with consequent breakdown of the lining (endometrium), leading to bleeding which is not a true menstruation. While a biopsy of the endometrium is indicated, it is unlikely to be secondary to early cancer of the uterus.
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Related questions

A 43-year-old female asked:
Ultrasound showed the wall of my uterus is thick, uterus is enlarged, and fibroids. Heavy/bad periods every 3 mos. Lasting over a month. Cancer odds?
Dr. Alan Patterson
Obstetrics and Gynecology 44 years experience
If u have thick endo: Endometrium, it depends how thick at your age if it measures over 10 mm u need a hysteroscopy with endometrial biopsy that I do in office and then u w... Read More
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A 29-year-old female asked:
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Dr. Tinuola Adeyanju
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View all answers
A female asked:
What does ill defined heterogeneous endometrium with bulky ovaries mean? have pcos,last period july 16.Had hysteroscopy and biopsies since.
Dr. Clarence Grim
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A 26-year-old female asked:
I did an ultrasound and the results show uterus is heterogeneous and is 12.1 x 9.2 x 8.2 cm. Endometrium measures 7 mm in AP thickness, left ovary 7.9 cc and right ovary 3.3 cc. 3 fibroids - 5.2 x 3.7 cm, 7.1 x 5.7 & 6.8 cm. what does all of this mea?
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A 59-year-old female asked:
I am 59 years old. I just had a ultrasound it showed thickened uterus 11mm and fibrous (sp). I have no bleeding no pain. Is this cancer?
Dr. Sewa Legha
Medical Oncology 52 years experience
Your Gynecologist ca: You should seek further help from your gynecologist. The question I have is why you had the ultrasound done in the first place? Thickening of the uter... Read More
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Last updated Mar 28, 2022

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