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Doctor insights on: Endometrial Thickening

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How painful is recovery from a hysterescopy and full D & C for endometrial thickening & How much time off work?

How painful is recovery from a hysterescopy and full D & C for endometrial thickening & How much time off work?

Postop usually short: Hysteroscopy, D and C is usually a simple ambulatory procedure which usually causes little to minimal postop pelvic discomfort (often requiring no analgesics or only a few tablets of nonsteroidal meds like Advil, Motrin, Anaprox (naproxen) or Naproxen... for the first 12 to 24 hours). Most healthy women can return to their normal routines within 1 or 2 days. Many can do so much sooner. ...Read more

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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.

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

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Had endometrial thickening 3 yr ago did dnc to thin it out. Now having same symptom possible to have thickening again? Taking norethindrone.

Had endometrial thickening 3 yr ago did dnc  to thin it out. Now having same symptom possible to have thickening again? Taking norethindrone.

Yes: It is possible to have endometrial thickening again 3 yr. after a D&C but is less likely since you are on the northindrone which is a progestin and should be preventing growth of the endometrium. See your doctor to look into your symptoms. Without knowing what they are, I can't tell you what else might be causing them. Hope this helps. ...Read more

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Same ovarian cyst for a year, discomfort sometimes.Ultrasound shows the same size but always there also endometrial thickening.Should i be concerned?

Same ovarian cyst for a year, discomfort sometimes.Ultrasound shows the same size but always there also endometrial thickening.Should i be concerned?

Probably ok: Small cyst are not uncommon and can cause pain. The thickening of the uterus can be related to your cycle (it varies throughout the month) at the time of the scan. If your cyst is stable in size over the last year and the pain is tolerable, probably not much to do about it. Just watch it. ...Read more

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Age 56 female.6 years postmenopausal . transvag.ultrasound shows endometrial thickening 8mm.biopsy? Dr wants one.is this cancer?

Age 56 female.6 years postmenopausal . transvag.ultrasound shows endometrial thickening 8mm.biopsy? Dr wants one.is this cancer?

Not necessarily: That is why you doctor wants to do the biopsy. It can be do to a multitude of reasons. It could be from hormones, it could be a polyp, it could be pre-cancer (hyperplasia), and of course it could be cancer. Do the biopsy. It is very important. ...Read more

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Hx of endometrial thickening. D&C a year ago. Still breakthrough bleeding. Saw 1cm "lesion" on right ovary 1 year ago. Any reason for serious concern. Appt with doc in 2.5 weeks.

Hx of endometrial thickening. D&C a year ago. Still breakthrough bleeding. Saw 1cm "lesion" on right ovary 1 year ago. Any reason for serious concern. Appt with doc in 2.5 weeks.

Follow up with MD: You need to follow up at the appointment in 2.5 weeks as ovarian growths can cause hormonal issues which can cause breakthrough bleeding. Your MD will have all the facts plus your previous exam information to base a decision upon as to whether there is a need to worry or not. ...Read more

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If my endometrial lining is 15mm does that automatically mean i have endometrial hyperplasia or just a thickened lining? Irregular cycles. Pcos

If my endometrial lining is 15mm does that automatically mean i have endometrial hyperplasia or just a thickened lining? Irregular cycles. Pcos

No: In a young person this simply means a thickened lining (common in pcos). The only way to diagnose hyperplasia is with an endometrial biopsy or D and C ...Read more

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What causes bleeding from the cervix after menopause? US shows endometrial thickening of 8mm and no change in fibroids. Bleeding is from cervix.

What causes bleeding from the cervix after menopause? US shows endometrial thickening of 8mm and no change in fibroids. Bleeding is from cervix.

Bleeding: Polyps both endocervical and prolapsed endometrial polyps, cervicitis (inflammation from infection), cervical cancer are some of the causes. In your case I wouldn't expect to see an 8mm endometrium at age 60, so I'm concerned about possible hyperplasia. Trauma from sex can cause cervical and vaginal bleeding as well from atrophy. ...Read more

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Transvag ultrasound showed endometrial thickening of 8mm.postmenopausal.no bleeding.how likely to be cancer? Weight loss 4 lbs in 3 mths.scared

Transvag ultrasound showed endometrial thickening of 8mm.postmenopausal.no bleeding.how likely to be cancer? Weight loss 4 lbs in 3 mths.scared

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

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Had vaginal us to look at ovarian cyst. Showed endometrial thickening & 2 fibroids.My last period ended 5 days ago. Should this be looked at further?

Had vaginal us to look at ovarian cyst. Showed endometrial thickening & 2 fibroids.My last period ended 5 days ago. Should this be looked at further?

Yes: If abnormal periods absolutely! if not, and if the thickness is less than 12-14mm i would not be so worried. If the fibroids are asymptomatic and not too large i would just follow them with us in 3-6 mo. ...Read more

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I am menopausal (10 years) and had brown spotting in November for 4 days. Spotting returned 1 month later with a tinge of fresh blood. Saw my GYN and she did an ultrasound. Found endometrial thickening of 13mm and what might be a polyp low in the cervix.

I am menopausal (10 years) and had brown spotting in November for 4 days. Spotting returned 1 month later with a tinge of fresh blood. Saw my GYN and she did an ultrasound. Found endometrial thickening of 13mm and what might be a polyp low in the cervix.

Might be cancer: So far your MD is doing the correct thing. She next needs to do a n endometrial biopsy or a hysteroscopy, or better yet, both. Ultrasound will not rule out cancer of the uterus. Although this is likely not what is going on, it id the MOST SERIOUS thing that could be happening. These further test need to be done. ...Read more

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Age 58, MRI shows large fibroids, endometrial thickening 17mm. No HT and no vaginal bleeding. Pelvic pain. Does this warrant biopsy?

Age 58, MRI shows large fibroids, endometrial thickening 17mm. No HT and no vaginal bleeding. Pelvic pain. Does this warrant biopsy?

Pelvic pain/fibroids: Whenever uterine fibroids are symptomatic, such as pelvic pain, there are several options regarding how to proceed. An endometrial biopsy is done to eliminate or rule in endometrial cancer prior to exploring any surgical options. Removal of the fibroids alone or the uterus is a consideration. There is a <1% cancer rate for fibroids.(leiomyosarcoma) and a frank discussion with your GYN MD is needed ...Read more

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TV Ultrasound showed 6cm solid adnexal mass but ct did not show it? Only Ct findings - fluid and/or endometrial thickening in uterus. Any explination?

TV Ultrasound showed 6cm solid adnexal mass but ct did not show it? Only Ct findings - fluid and/or endometrial thickening in uterus. Any explination?

Possible resolution: if there was a few days or more between tests, it is possible that whatever lesion that was seen on ultrasound resolved on its own. Ultrasound uterus and ovaries is sometimes a challenge based on intestinal issues and potentially what was seen on ultrasound could have been shadows of bowel. If you continue to have symptoms, repeat imaging in 4-6 weeks could be considered. ...Read more

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What is endometrial hyperplasia?

What is endometrial hyperplasia?

Good question: Endometrial hyperplasia is the excessive proliferation of endometrial cells, which are the cells lining the inside of the uterus. It is often driven by excess estrogen and is usually treated medically with Progesterone therapy (pills or iud) or surgically with a hysterectomy. ...Read more

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