Doctor insights on:
Endometrial Hyperplasia After Menopause
10-12 after menopause I am bleeding, not a lot but any scares me. Why am I bleeding now? Very stressful day and took a walk fof over an hour after 2-3 years. Also did a lot of yard work for the first time this year.
See your doctor: Bleeding after menopause (defined as 1 year without a period or any bleeding) is always a reason to see your gyno. Your activity is unlikely to be a cause. There are some simple causes, such as a dry vagina and bleeding after sex, and some more worrisome causes that definitely need evaluation and treatment (pre-cancers and cancer). Don't worry, but do make an appointment today. ...Read more
The absence of menstrual periods for 12 months. During menopause, the ovaries stop producing estrogen and progesterone. After the complete transition into menopause, women can no longer get pregnant. The average age for menopause is 51 years old. Symptoms include dry vaginal tissue, irregular periods, hot flashes, mood ...Read more
Is endometrial hyperplasia always cancerous post menopause? Or can it just be nothing to worry about? My endometrial lining is 6mm instead of 5m
I in late menopause (High FSH)First skipped period then a 3 day red bleed. Read 'long term' anovulation > risk of endometrial hyperplasia. How long?
Menopausal 7 years. Take hrt. Had 7 days of spotting. Saline ultrasound showed no endometrial hyperplasia. How long can I postpone endom. Biopsy?
No easy answer: There is no easy answer, because if there is a malignancy there, it can only get worse, and the longer you wait, the greater chance that it will progress and become more difficult to treat successfully. Usually the delays are measured in days not months. ...Read more
It's a indicator: Endometrial hyperplasia (overgrowth of the uterus lining) means that the uterus is being exposed to continuous estrogen, which is a risk factor for endometrial cancer. So it indicates that conditions are favorable for the development of cancer, and it can also allow an early cancer to hide more easily. Atypical hyperplasia means overgrowth of abnormal cells and an even higher risk of cancer. ...Read more
Not really curable: You'll be taught how to manage it. In addition to meds and eating sensibly, consider getting back into the aerobic sports activities that you enjoy most, much more intensely. ...Read more
Hyperplasia: Technically endometrial hyperplasia can only be diagnosed by an endometrial biopsy. An ultrasound can reveal a thickened endometrium which may aid in the decision process to have a biopsy. Endometrial hyperplasia itself is not malignant but left untreated it could potentially develop into endometrial cancer. Speak with your doctor and see if you need a biopsy. ...Read more
Endometrial dx: Endometrial hyperplasia is not "sudden, " it is a progressive thickening of the lining of the uterus due to estrogen effect. Early phases are called "simple hyperplasia." this can progress if untreated to "complex hyperplasia" or "atypical hyperplasia" - if left untreated, it can progress to endometrial carcinoma. Treatment is progesterone hormones to counteract the estrogen. ...Read more
Is it normal to take medroxyprogesterone every day continuously to treat endometrial hyperplasia with atypia?
Control biopsy: This can be done. I assume the plan is to repeat an endometrial biopsy after three months. ...Read more
Endometrial hyperplasia simple not responding to 100mg progesteron day 10 onwards of cycle; 7 days in start bleeding more than ever?
This all depends on many things, and your question if very unclear. Are you saying you start the Progesterone on day 10? And you don't indicate what kind of progesterone. And are you 7 days into your period, or the progesterone? And is this the first month you are on it?
Really, none of this doesn't mean it isn't working. You should call the physician who prescribed the medication to discuss. ...Read more
Hard to be certain: Ultrasound is never 100%, but several findings are suspicious for endometrial hyperplasia or even cancer. For instance, if your lining is excessively thick for your age or if there is a suspicious mass seen within the uterine cavity on the sonogram, hyperplasia or cancer may be present. However, other findings can cause similar images on sonogram. Also, diagnosis can only be made with a biopsy. ...Read more
Possibly: Fibroids are benign growths of uterine muscle and are not cancerous. Rarely, a fast growing fibroid may in fact be a sarcoma or a cancer. A uterine polyp (like a skin tag in the uterus) can be totally benign or may house hyperlastic cells. Endometrial hyperplasia with atypical cells is considered precancerous and should be treated. Bleeding after menopause should always be evaluated. ...Read more
Yes: A polyp can be cancerous or precancerous. The exact chance of that depends on several factors including age, genetics and other medical problems. Hyperplasia has a significant risk of becoming cancer depending on whether there is atypia or not. In general fibroids are not cancerous. But some woman can develop certain types of uterine cancer that look like fibroids. ...Read more
Overgrown lining: The lining of the uterus is called the endometrium. When it is too thick and/or overgrown, it is called hyperplasia. Frequently this is just a benign thickening but it can be atypical (abnormal) or even cancerous. Thickened lining in older women is more worrisome and should be biopsied. It is a diagnosis made by ultrasound, so it is typically found when evaluating abnormal bleeding. ...Read more
D&C vs hysterectomy: Endometrial hyperplasia can cause bleeding, and possibly lead to cancer. One effective treatment is hysterectomy, which also allows for thorough pathology examination to be sure there is no cancer already present. Other treatments to avoid hysterectomy include a thorough D&C to remove the abnormal endometrial lining, and possibly hormonal treatments. Your gyn can discuss what is optimal for you. ...Read more
Depends on patient: A woman will have a higher risk of endometrial hyperplasia if they have prolonged exposure to unopposed estrogen. Women with higher risk include those suffering from anovulation (no menstrual cycle), hirsutism (abnormal nhair growth), polycystic ovarian disease, obesity, estrogen replacement therapy after menopause. ...Read more
Perhaps: Need more information. Do you have any atypia? How old are you? How much do you bleed? Is a repeat sampling planned? Best Wishes ...Read more
```EM thickness: US is one way to look at the interior of the uterus, the endometrial lining. If it appears thickened, it can be due to both physiologic or pathologic growth. In patients over 40, pre-neoplastic or neoplastic hyperplasia becomes more likely, but other things may also be present like polyps. Usually a biopsy or curettage would be needed to sort this out. ...Read more
D&C: Dilation and curettage is one option, in which the lining is gently removed to fully evaluate for higher grade abnormalities concerning for cancer. If there are also atypical cells present, many would recommend a hysterectomy due to the high risk of underlying cancer, or of the abnormality progressing to cancer. ...Read more
Not usually: Endometrial hyperplasia (with or without atypia) has many causes, but often hormone imbalances can be the cause. Overweight patients have an increased risk of hyperplasia. Since the ovaries produce hormones, they may be involved. However, medical therapy can sometimes be used to manage hyperplasia. Ultimately, it is a precursor to cancer and requires close monitoring. ...Read more
Progesterone: Hyperplasia is overgrowth of (most commonly) proliferative phase endometrial glands. Provera (medroxyprogesterone) is a Progesterone agent which promotes maturation of the endometrium from proliferative (or hyperplasia in this case) to secretory phase which then is shed (menses). In most cases Provera (medroxyprogesterone) is effective in treating hyperplasia and can prevent progression to atypical hyperplasia or cancer. ...Read more
Ultrasound showed: "endometrial hyperplasia" and the tech also said there was "debris" (fluid). What do these results mean?
Endometrial: Hyperplasia occurs when the endometrium, the lining of the uterus, becomes too thick. It is not cancer, but in some cases, it can lead to cancer of the uterus. It most often is caused by excess estrogen without progesterone. If ovulation does not occur, progesterone is not made, and the lining is not shed. It usually occurs after menopause, when ovulation stops and progesterone is no longer made. ...Read more
Have endometrial hyperplasia, no abnormal bleeding (app. 11mm @ day 13 of cycle). Dr. Advises ablation. Is that recommended? Please explain.
No: Your are 44 years old, are you still having your periods? If you are, then 11 mm endometrial thickness is not considered endometrial hyperplasia in a menstruating woman. Besides, even if you were postmenopausal endometrial hyperplasia may imply dysplasia or cancer and ablation is the wrong thing to do since you may mask a cancer. If you have no abnormal bleeding then ablation is not indicated. ...Read more
Transab ultrasound13mm uterine stripe, endometrial hyperplasia. I'm 36. Always had normal cycles, 2 months had heavier bleeding for first 2 days but normal cycle again. Do I need to do anything?
Endometrial Hyperpla: Endometrial hyperplasia is typically seen in older, peri- or post-menopausal women, and consists of a thickening of the endometrial lining due to excess estrogen effect. Ordinary hyperplasia, for a short period of time is minimally dangerous as far as cancer, but prolonged hyperplasia - for many months can result in "atypical hyperplasia, " which increases the risk. If concerned, consult your gyn. ...Read more
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