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Doctor insights on: Endometrial Ultrasound

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Dr. Michael Gabor
2,194 doctors shared insights

Sonogram (Definition)

An ultraound, also known as a sonogram, is a painless and relatively inexpensive imaging test that utilizes sound waves instead of ionizing radiation. There are no side effects. Ultrasound can give us two-dimensional, and in some applications three-dimensional, images of structures and organs in virtually any part of the body. In addition to diagnostic uses, such as evaluating abnormalities in the abdomen, pelvis, and breast, ultrasounds are commonly used to guide needle and catheter placement in a variety of surgical ...Read more


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On day 7 of cycle what is considered normal endometrial thickness? Ultrasound ordered for 34 year old due to increased bleeding and cramping, bleeding

On day 7 of cycle what is considered normal endometrial thickness? Ultrasound ordered for 34 year old due to increased bleeding and cramping, bleeding

Huge range: There is a huge range here for possibilities. Day 7 for a regularly ovulating woman with no other pathology--range 5-9mm. However, if you had something like PCOS where you don't ovulate or menstruate regularly then the lining could be much thicker, like 12mm+. Some women with a really thin lining (low estrogen levels) have persistent bleeding and I would expect their lining to be 5mm or less. ...Read more

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56yrs/p. Ultrasound- endometrial lining m. 1.2cm with increased vascularity & small cystic area in endometrium. Please explain, what it could be.

56yrs/p. Ultrasound- endometrial lining m. 1.2cm with increased vascularity & small cystic area in endometrium. Please explain, what it could be.

Several possibilitie: Since your profile says age 56, i will assume that you are postmenopausal. An endometrial thickness of 1.2 cm is too big and needs a biopsy. The main possible causes are hyperplasia, polyp or endometrial cancer. ...Read more

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Ultrasound showed endometrial hyperplasia and fluid. What does this mean?

Ultrasound showed endometrial hyperplasia and fluid. What does this mean?

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

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Had ultrasound an endometrial stripe thickness of 12mm was found and slight fluid in cul de sac. What does that mean?

Had ultrasound an endometrial stripe thickness of 12mm was found and slight fluid in cul de sac. What does that mean?

Depends: The endometrial thickness has limited use in premenopausal women as it will fluctuate throughout the menstrual cycle. The appearance is more important. Ask your doctor to interpret the sonogram in the clinical context of your unique situation to better understand if this is a normal sonogram or not. ...Read more

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Ultrasound showed endometrial hyperplasia and fluid/debris. What does this mean?

Ultrasound showed endometrial hyperplasia and fluid/debris. What does this mean?

```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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Ultrasound showed: "endometrial hyperplasia" and the tech also said there was "debris" (fluid). What do these results mean?

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

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Had transvag ultrasound. Says endometrial stripe is 3mm. Is this normal? Is this bad? I have no idea what this means or what the stripe should be

Had transvag ultrasound.  Says endometrial stripe is 3mm.  Is this normal? Is this bad? I have no idea what this means or what the stripe should be

Need more info...: If you are menopausal, anything under 4 mm is considered normal. If you are having menstrual cycles, then the endometrial stripe varies depending on where you are on your cycle. Your endometrium builds throughout your cycle, then during your period 2/3 of it sloughs off. See your gynecologist for more information and diagnosis. ...Read more

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Could a trans-vaginal ultrasound detect endometrial hyperplasia?

Could a trans-vaginal ultrasound detect endometrial hyperplasia?

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

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I had postmenopausal bleeding after one year. In trans vaginal ultrasound, my endometrial thickness is 10 mm. Rest is clear. Is it normal?

I had postmenopausal bleeding after one year. In trans vaginal ultrasound, my endometrial thickness is 10 mm. Rest is clear. Is it normal?

More hx: I think more history is required before more imaging and invasive procedure. Such as: how often is the bleeding? Are you on any hormone replacements? Etc. ...Read more

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