Doctor insights on:
Endrometrial Ultrasound For Menopause Symptoms
At what mm of uterine lining would a doctor order a uterine biopsy? Premenopausal, recent diagnosis breast cancer with periods stopped for 3 months.
Depends: If a woman over the age of 40 comes in with abnormal bleeding or any abnormality of the uterine lining, then they deserve an endometrial biopsy. Breast cancer is often treated with tamoxifen which is associated with pre-cancerous and cancerous changes in the uterus. It sounds like they must have good reason to recommend this test. ...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
NO BUT INCREASE RISK: Hormone therapy does not cause breast cancer but it does increase your risk of breast cancer. According to the national nurses health study using hormone replacement therapy for 10-15 yrs increases risk about 20%, if used more than 15 yrs it doubles to around 40%. Talk to your doctor to help you decide how to better manage postmenopausal symptoms. ...Read more
Advanced stage 4 endometriosis. 2015 treated by Hysterectomy + tubes/ovaries. How is recurrence Diagnosed? Currently use estrodiol 1mg for menopause.
Estrogen: Endometriosis needs estrogens to make symptoms. If after stopping the Estradiol 1mg - which is a low dose and should not cause endometriosis to grow to begin with - symptoms what is thought to be endometriosis persists, that diagnosis needs to be challenged - it's unlikely to be endometriosis. ...Read more
Yes: Almost all test and imaging studies have false positive and false negative results. Early ovarian cancer is particularly difficult to detect as the normal ovary often has cystic changes and varies in size during the reproductive period. Having said that, transvaginal ultrasound is a useful and perhaps the best test for detecting ovarian cancer. ...Read moreSee 1 more doctor answer
Bleeding, pain, etc: Common uterine cancer symptoms are first and foremost abnormal bleeding and pain. Once more advanced it can start to cause rectal and bladder pain, irritation, or bleeding. It can also be detected on gynecologic exam with palpating and when suspected by endometrial sampling which is an outpatient simple procedure. ...Read moreSee 1 more doctor answer
Yes, certainly: Mine does. I bet yours does too, or call our office. ...Read more
What are the symptoms of estrogen dominance/low progesterone? I am 44 possibly perimenopause. Spotting btw periods/clotty periods. Tsh & pap normal.
See below: In women struggling through peri-menopausal transition, cycles where you do not ovulate are common. This is similar to being stuck in the first half of your cycle where estrogen is the dominant hormone. This can be balanced by either taking birth control pills, or using Progesterone (provera (medroxyprogesterone) for example) during the latter half of each cycle. Talk to your doctor. ...Read more
Elevated FSH(over 60)& experiencing menopausal symptoms. Just turned 40, no children. What specialists/tests to confirm menopause besides gyno?
Post menopause bleeding. D&c clear, tvu show hyperplasia(6mm). Pap smear clear. Sometimes pelvic pain & bloating. 1.3cm ovarian cyst.Ovarian cancer?
Estrogen replacement: Depending on your symptoms that may be early ovarian failure, tests can be done to see if your estrogen level is low. You can also obtain an amh level to determine if your ovarian reserve is truly low. If you need to take estrogen supplementation, Progesterone will need to be given each cycle as well if you still have a uterus. Your age and any medical issues may determine if you can take estrogen. ...Read more
Ovarian cysts-7mm via ultrasound, recent irregular vaginal bleeding and constipation/bloating. Cancer possibly with the bleeding? 39 years old, health
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 moreSee 2 more doctor answers
Apparently, very.: Statistics for this are hard to come by, but this is an essential part, along with physical exam, and blood test (for ca-125), of the initial workup. Patients can be asymptomatic, and physical exam can be negative. An ultrasound is likely to find suspect areas that the other tests can fail to pick up. High ca-125 can be seen in other conditions. Surgery is probably the most specific procedure. ...Read moreSee 1 more doctor answer
Increases risk: Hormone replacement therapy (hrt) has been shown to increase one's risk for breast cancer if taken for longer than 5 years. The current recommendation is to take low doses for a limited amount of time and then stop. There are some other non hormonal medications that can be used to help manage menopausal symptoms. ...Read moreSee 3 more doctor answers
Sometimes: It is not a good screening test for the average woman. However, some centers recommend aggressive screening for women with significant family history of ovarian cancer or genetic related issues. In those few cases, screening with vaginal ultrasound and ca-125 blood tests may be helpful. (but unfortunately, these tests are no where near as sensitive as colonoscopy screening for colorectal polyps. ...Read moreSee 2 more doctor answers
Is a hysterectomy after menopause the best answer for hormone therapy if you have uterine fibroids?
It depends: Most fibroids shrink in menopause, even if you are treated with low-dose hormone therapy. If, however, fibroids grow during menopause, that is a red flag for possible trouble. Hysterectomy will be your best bet to rule out the possibility of a cancerous growth, and to prevent further fibroid growth. Furthermore, you can then use estrogen alone which may be safer than estrogen plus progesterone. ...Read moreSee 3 more doctor answers
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