Doctor insights on:
Endrometrial Ultrasound For Menopause Symptoms
Post menopause break through bleeding. Ultra sound. 61 cm endometrial stripe. Heterogeneous uterus with 2 small fibroids. Is D and C necessary?
Not always.: Anytime their is postmenopausal bleeding then an US evaluation of the uterine lining should be performed. If the endometrial stripe is more than 3-5 mm then an endometrial sample should be taken. This can usually be done in the office and does not require a D and C. Sometimes your doctor may want to insert a thin flexible camera into the uterus to further evaluate the lining. ...Read more
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
I have a 1cm endometrial polyp that isn't really causing symptoms. I am 35 and pre-menopausal. Doc wants to remove polyp - is that really necessary?
Polyp: Treatment may not be necessary if the polyps do not cause any symptoms. However, polyps should be treated if they cause heavy bleeding during menstrual periods, or if they are suspected to be precancerous or cancerous. They should be removed if they cause problems during pregnancy, such as a miscarriage, or result in infertility in women who want to become pregnant. If a polyp is discovered after menopause, it should be removed. ...Read more
In my last ultrasound I was told that my egg count was of 4. Does that mean that I only have 4 eggs till I menopause?
No: The fertility specialists use an ultrasound view of the ovaries to count the number of "antral follicles" seen. The number is called the "egg count", and sort of estimates how her total eggs situation is in her ovaries. If a woman has an average or normal egg count, then there is a better chance of her responding to fertility treatments. If a low egg count, the treatments may not work well. ...Read more
Ultrasound found that each ovary is small and inactive, does that mean that I am post menopausal? Does the body still produce oestradiol?
I am 54 years old with a painful ovarian cyst for 4 years now. Ultrasounds show it is simple. Does it need to be removed? I am not menopausal yet.
Maybe: You do not mention how large or small it is. A large simple cyst can be painful just as a small one. If it does not respond to treatment and it is still painful, there may not be that many options left other than take it out. ...Read more
I had a transvaginal ultrasound today & cysts were found on my ovaries? How serious is this? I'm 52 & only been in menopause 1 year.
Depends: Simple cyst can occur in the menopause and are usually benign (non cancerous). Its more concerning if you have a family history of ovarian and/or breast cancer in your family or if the cyst is complex. It might be a good idea to get a blood test called a ca-125 and to clarify with your provider if the cysts are simple or complex. ...Read more
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
What is significance of "free fluid" around uterus (on ultrasound) on post menopausal woman? Does this cause a sense of fullness and bloating?
Look into further: This really depends. Some amounts of free fluid can be normal but it depends on the amount. This really needs to be look into further. It does not necessarily cause fullness and bloating. ...Read more
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
Can menopause cause traces of blood in urine and recurrent UTIs. Had cystoscopy and kidney ultrasound - both ok. Also have stage 3 prolapse. I am 68?
No, but...: Menopause would not be related with trace blood in urine. To know more on blood in urine, go to http://formefirst. Com/hematuria. Html for more realistic detail. Recurrent UTI is commonly associated with a poorly emptying bladder, catheter insertion, coitus, etc. Pelvic floor prolapse is relatively common and may affect urine flow and bladder emptying. More? Seek evaluation & counseling. Best wish.. ...Read more
I am 46 near to menopause my ultrasound of pelvis says that uterus is a bit bulky and endometrial thickness is 0.9cm on 10th day what does that mean?
Depends...: If you are still having periods, a 9 mm endometrial thickness is in the normal range. However, if you are not yet menopausal, this is equivocal but your endometrium may thin out over time. The uterus being bulky is not really specific - I would ask your doctor what that means. Maybe your uterus is "more robust" looking than expected for your age but I'm not sure without seeing the whole report. ...Read more
Very sore in ext. Vaginal area I avoid sex and in menopause. Waiting for results from pelvic ultrasound to see if uterus lining thin. Suggestions?
Vaginal Estrogen: When you are in menopause, your body stops making estrogen. Since the vaginal tissue is very sensitive to estrogen, it can become thin and lose its ability to stretch. When you have intercourse, you can actually get micro-tears in the vaginal wall that are painful. These symptoms usually respond to a vaginal estrogen cream or tablet. Don't have intercourse if its painful. Best wishes! ...Read more
A good question: For your gynecologist. Ultrasound is an appropriate test for endometrial adenocarcinoma but it will miss small tumors. A D&C may be done for therapeutic purposes, but is good for detecting adenocarcinoma if the sample is examined by a pathologist. Even so, a D&C may miss tumors because it is a blind procedure; or depending on the size and location of the tumor. ...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
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?
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 endometrial echo complex measures 0.8cm which is thickened for a post menopausal patient. Is this dangerous?
Possibly...: This is a mod thickened endometrial stripe. This very well could be within your normal variability. If you are on any estrogen type med, even herbals it could cause thickening of the uterine lining & this. However, any thickening of the endometrial stripe needs to be taken seriously as this can be a sign of cancer & a bx may need to be done. Don't panic, but follow-up! Need more info to say why. ...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
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
I'm 5 years post menopause and my endometrial stripe measured 6.2 mm up from 3mm last year. My dr wants to do biopsy. Is it normal for increase postmen?
No: What was the reason for the measurement of your endometrial stripe? Are you having bleeding also? A normal endometrial stripe in postmenopausal woman is 4mm or below. It would not be wrong to do a biopsy given the change but I would not routinely check your endometrial stripe thickness without bleeding or other risk factors ...Read more
D & C for 9mm endometrial lining' post menopausal. Said 1 out of 100 chance is cancer and 10-20% chance of precancer? Does this sound reasonable?
Endometrial lining growing back after D & C 5 mos. Ago., no malignancy. Dr. now recommends hysterectomy. How likely is this cancer in post menopause?
Cancer: Not very likely but please follow your Doctor's advice. If you are not comfortable by what you hear from your doctor you might have a friend or family member refer you to a different doctor. ...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
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
Ultrasound came back endometrial stripe abnormally slightly thickened (endo hyperplesia possible) but I could possibly be preg Could this be why?
Could be. . or not: .. . the endometrial stripe, measured by ultrasound is a reflection of ESTROGEN'S effect on the lining of your uterus. At your young age, your endometrial thickness will increase and decrease in relation to how your own estrogen levels change. It is MOST useful as a way to evaluate POST-Menapausal vaginal bleeding-since the endometrial stripe should always be thin. ...Read more
I am 45 years old and just has my pap smear as well as an ultrasound last week. Pap and ultra were normal but it came back with endometrial cells.
Endometrial cells: I wonder if you mean "endocervical" cells, as those are what we want to see when you have a pap to indicate that there is an adequate sample to rule out issues. Are you sure about them being "endometrial"? ...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
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