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 more
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
Depends: If the fluid is there because of an infection, then there would likely be pain as well. The fluid itself can cause crampy pain if there is enough to create pressure inside the uterus. ...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 more
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 taken 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
An ultrasound showed a my endometrial lining is only 4mm and there are benign-appearing follicular cysts. Could it be pcos?
Not likely: The diagnosis of PCOS can not be made on the basis of your ultrasound; it requires information on your personal Gyn and General health history plus some specific sonographic criteria and/ or blood hormonal tests. Your gynecologist or reproductive endocrinologist should be consulted to answer your concern. ...Read more
Often you don't ovulate and have bleeding. That is the most likely cause.
If you want to be pregnant again, doctor will help you ovulate, otherwise, go on the pill to help your cycles, ...Read more
My endometrial lining is about 8.2mm and follicle size is 1.7*1.2 CM on 18 th day. Could it be pregnancy?
How concerning would you find a 1cm regrowth of endometrial lining within 2 months of endometrial ablation in a 27 yr old female?
Endometrium: It really depend on what type of ablation you had. Also, the scar tissue created can sometimes be read by radiologist as endometrial thickness. I think a lot of radiologist have issues reading ultrasounds after ablations even when they are notified you had one. Because I don't know what type you had I can 't give too much more info. ...Read more
I am 42 just had a pelvic us and the endometrial lining measured 12.5mm (1.25cm) and it was 5 days after my cycle. Is this normal?
Does an endometrial biopsy take samples of the whole lining? If my small polyp was cancerous would the lining around it be affected?
.endometrial lining is diffusely heterogeneous with 0.2 mc hypoechoic density centrally, cannot exclude a polyp. Adenomyosis? What this mean?
I'm taking red clover to thicken my endometrial lining, which has worked. Now I've been prescribed clomid (clomiphene). Can I take them together?
Fertility doc: Fertility specialists are usually quite particular in the ay they want their patients to take medication. Confirm that the herbal treatment is a recommended part of the treatment plan before self medicating. Work with your specialist and follow the directions given to optimize your chance of success. ...Read more
I took loestrin for 5 years, which I know thins endometrial lining, how long will it take after stopping the pill for my lining to return normal?
Very soon: When you stop oral contraceptives, most women get their cycle back a month later. In a small percentage of women it can take longer and if it does not come in two months, I would see your gyne. I would also do a pregnancy test at that point if there is a chance you could be pregnant. ...Read more
I've 28-29 days cycle, today is cd8 and what is the normal size in millimeters of dominant follicle and endometrial lining at this stage of cycle?
Follicle sizes: During this phase of your cycle, the follicles are usually 8 - 12 mm in diameter and may grow to ~ 18 - 20 mm before you ovulate. The lining should be ~ 4 - 6 mm as it grows to the maximal thickness before you ovulate. ...Read more
Is and endometrial lining of 16mm bad? Should a D & C take care of it? Are there any risks? 27 & want to conceive. I might also have endometriosis.
Need more info: Suggest an in box consult with any panel gyn ...Read more
Is a 3 mm endometrial lining on CD 26 of a 27 day cycle normal? We're trying to conceive and the result of the thickness of the lining suprised me.
Abit thin: That is a little thinner than one would expect on CD 26 if you were ovulating. CD 26 is also not a typical day that an Obgyn would assess the endometrial thickness to make some determination about a patients fertility. Not strong conclusions can be drawn from this isolated data point. Each case would need to be analyzed individually ...Read more
Thickened lining, Endometrial biopsy was benign but scant tissue sample. Dr says repeat biopsy in 30 days or do D & C & hysterscopy. How do I decide?
Discuss with doctor: This decision will need to be made by you and your doctor together. The sonogram should be reviewed to determine the thickness and appearance of the endometrial lining. If there are concerns that adequate sampling was not obtained by biopsy then direct visualization by Hysteroscopy may be warranted. ...Read more
My endometrial lining is 19.2 with a possible polyp. They are doing a hysteroscopy on the 11th. What chance is it of being cancer they are looking for?
They ARE looking: If the radiologist thinks it's a polyp, if it is cancer (odds are it's not, but there's a chance) is has probably not gotten very far. They are of course concerned this is cancer and we need tissue to find out. Let's hope for the best -- you were wise to permit the workup. ...Read more
My ultrasound states that there is focal thuckening of the endometrial lining isolated to the fundus and proximal body. It measures approx 1cm in thic?
Evaluation: A sonogram report like this may trigger further testing. Your obgyn may want to do a specialized sonogram called a sonohystogram or visually inspect the area with a hysteroscopy. Both are effective ways at evaluating the endometrial cavity for polyps, fibroids and other pathology ...Read more
Could I be pregnant currently? Endometrial lining 6mm. It would be day 8. 37 days since intercourse. Still stressed.
Probably not.: Over-the-counter pregnancy tests are very accurate. They are most accurate if you wait at least 14 days after conception. If it is been that long since your last episode of intercourse, and you have a negative test, then you should make an appointment to see your doctor to look for other reasons why your periods are irregular. ...Read more
Endometrial biopsy done because uterine lining 9mm thick. Benign, but Dr only able to get scant tissue sample. Why would that happen?
Aspiration device: If your MD used a aspiration endometrial biopsy device then a small sampling was all that was needed to give a benign "diagnosis." The "olden days" in office scraping is usually no longer done unless it was a D & C in a surgical environment. ...Read more
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