Doctor insights on:
Atrophic Endometrial Lining
I am 55 with pmb. Endometrial thickness on us was 9mm. Endo biopsy was done showing atrophic endometrium. Lining is supposed to be less than 4mm. What is the next step?
Your Gyn can help: Your doctor should be guiding you further. If you do not have any abnormal bleeding, then you do not need to rush into anything further as you have already done the biopsy of the endometrium. Serial ultrasounds at 6-12 month intervals can guide further action, if any needed. Read moreSee 1 more doctor answer
Blockage: A polyp sits atop the endometrial and usually partially made of endometrial material. When the endo lining sheds, the part under the polyp cannot shed as the polyp blocks its. Think of rain falling on a field with a huge thick tree setting in the middle. The rain cannot really get to the ground under the tree as it is blocked by the tree; sample principle with the polyp. Read more
Think endometrium: This is thicker than normal for a postmenopausal woman, so it means that you will need evaluation of your endometrium in the form of endometrial biopsy or d&c. The results are often benign, but a biopsy will be done to rule out endometrial cancer or endometrial hyperplasia. Read more
What would be the typical thickness of the endometrial lining around day 10 of a woman's normal cycle?
0.8 cm: But it varies, for evaluation purposes it's more important to know the structure of the lining by looking at it under a microscope. Read more
What're the chances of a very thick endometrial lining being cancerous in a post menopausal woman?
Need a biopsy: Although a thickened endometrial lining can be one of the findings in uterine cancer, this finding alone does not confer a diagnosis of cancer. Typically, a post-menopausal woman will present with vaginal bleeding to her ob/gyn. Her doctor will then perform an endometrial biopsy to confirm or negate a diagnosis of cancer. Read more
My daughter is 11 years with thickening of endometrial lining measuring 16mm. Is it normal. Her lmp was on 28/7/16?
Yes: Early in puberty the cycles are dominated by estrogen which stimulates endometrial buildup. Egg release is not consistent in the first year, but is followed by progesterone formation that triggers the cycle when conception does not occur. If no egg release occurs, a longer interval is expected but a heavier cycle would eventually occur. Up to 90 days is noted between cycles in normal young women. Read more
Pathology report says prominent thickened Endometrial lining at 1.5cm. Is this bad? What does it mean by prominent thickened endo lining?
There are a couple: Of ways to measure the thickness of the endometrial lining. By ultrasound or by endometrial biopsy. Most agree that a thickness of 1 cm or 10 mm is classified as "thickened." Especially in older women, a thickened endometrium may suggest cancer, but most often non-cancerous causes explain it: normal hormonal changes, obesity, diabetes, polycystic ovarian syndrome. Your Doctor will advise. Read more
I have just had an internal scan he said there was fluid in my lining and endometrial lining was 5cm but said wait to hear from the doctors?
Not really: The paragard iud is hormone free. It works by creating a toxic environment for sperm preventing fertilization. Because it is hormone free it has no real effect on the endometrial lining. It does not thin it out like Mirena (levonorgestrel) but also does not thicken it either. Read moreSee 1 more doctor answer
Had D & C for 9mm endometrial thickening. Benign. Dr wants to do nothing except ultrasound in year. How likely is it that lining will thicken again.
Review pathology: I would contact your obgyn and review the pathology report from the D and C to confirm that no abnormalities were seen. Then you can discuss the various options. Read more
Had HSG done everything looked good according to Dr. Have had 4 abortions. No complications 3 miscarr. After. Did I mess up my endometrial lining???
Endometrial lining 11.88. 26yr female hx mod endometriosis. Lining on us shaped like an arrow with a tale is this normal? Feel preg nothing on ultras
Normal: The shape you describe is most likely normal but obviously cannot say with any certainty without seeing the images. As for "feeling pregnant", have you take a pregnancy test? A urine pregnancy test is far more accurate at diagnosing early pregnancy than an ultrasound. In a woman of childbearing age at the end of her cycle an endometrial thickness of 7-16mm is considered normal, btw. Read more
I had 4 induced abortions. No complications, menstrual is normal have had 3 miscarriages after. Did I mess up my endometrial lining? & is that fixable
No: It isn't the endometrium that is the source of the repeated miscarriages. It is either a genetic issue or cervical incompetence. The cervix may be opening too soon in the 2nd trimester and may need to have a suture placed (cerclage).Genetic issues can be tested at the time of the miscarriage with the products of conception or later with blood testing (TORCH titer). Read more
Post menopausal had D&C for 9mm thick endometrial lining. No malignancy. Is it very likely that the D&C will prevent lining from getting thick again?
Dr could only get scant sample of endometrial lining for biopsy. Had problem getting through cervix because curved. Extremely painful. Is this common?
Cervical stenosis: It is very common for the gynecologist to have difficulty inserting a biopsy instrument through the cervix when a patient is in menopause. This is called cervical stenosis. If the doctor could get the instrument into the uterine cavity and only retrieved scant tissue, that would imply that the lining of the uterus is atrophic or thin. If there is any question, you should have an ultrasound. Read more
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