Doctor insights on:
Endometrial Thickening Of 23 Mm
I am a 26-year-old female with PCOS and amenorrhea. Is a 15 mm endometrial thickening normal for my age and my conditions? Thank you!
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
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 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
I take methotrixate for RA (for1year), now I have developed endometrial thickening. Could this be related? My last pap exam was normal 9 months ago.
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
Age 56 female.6 years postmenopausal. Transvag. Ultrasound shows endometrial thickening 8mm. Biopsy? Dr wants one. Is this cancer?
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
CIN2, endometrial thickening of 20mm and hyperechoic area (polyp) dianosed. D&C and LEEP scheduled, could this be cancer?
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
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
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
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?
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
Gall bladder polyps, aorta artherosclerotic, cyst right kidney, cyst liver, endometrial thickening all in ten years. Is this normal in that time?
Yes: Those are all common findings for a span of 10 years in a 59 year old. ...Read more
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
Can you get ovarian cysts during withdrawal bleeding. Took norethindrone for 10 day for endometrial thickening and have stabbing pains at the end of my bleeding. Having a d&c tomorrow.?
Call your gyn: Since you are having surg tom, if u were my pt I would not want you asking that? Here, cazll your gyn today. ...Read more
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
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
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
Missing issue: It seems your question got cut off. As to hyperplasia it depends on whether it is simple or complex and if there is atypia (weird cells). What type dictates the next step in treatment options. ...Read more
Yes: Endometrial hyperplasia does not necessarily mean hysterectomy. However, hysterectomy is the most definitive treatment and eliminates the risk of future progression to cancer. Therefore, it is often recommended. Other treatment options are Progesterone therapy (pills or iud). Discuss options with your doctor. ...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
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
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
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
My gynecologist said I have endometrial hyperplasia and I need an iud. She is sending me to an oncologist. Why is this?
Don't panic: Endometrial hyperplasia is the precursor lesion that has the potential to develop into frank uterine cancer. Your gynecologist is sending you to an oncologist not because you have cancer but because oncologists manage patients who are at high risk of progression to cancer or may have concomitant cancer that is not detected yet. An iud will often reverse hyperplasia. ...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
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