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Doctor insights on: How To Measure Endometrial Thickness On Ultrasound

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Dr. Michael Gabor
2,271 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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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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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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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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Had an ultrasound. Right ovary is 7.6cc and left 8.1cc. Endometrial thickness is 2.8mm what does this mean. Can this explain my pelvic pain?

Had an ultrasound. Right ovary is 7.6cc and left 8.1cc. Endometrial thickness is 2.8mm what does this mean. Can this explain my pelvic pain?

Pelvic Pain: This can definitely explain why you are having pelvic pain. It's important that you f/u with a GYN for this as you may need an endometrial biopsy and or a laparoscopy. Try taking an anti inflammatory and using an ice pack until you get to see the Dr for the pelvic pain. Good luck and keep an eye on this, you are young and have not had children yet ...Read more

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Hi doctor, I am 23years old and I am not getting periods from 2 months. I had an ultrasound n there I found taht my endometrial thickness is 3mm..

Hi doctor, I am 23years old and I am not getting periods from 2 months. I had an ultrasound n there I found taht my endometrial thickness is 3mm..

Irregular periods: You may want to consider using birth control to help provide cycle regulation. Your doctor can discuss with you if hormone testing for thyroid disease or polycystic ovarian syndrome is warranted. ...Read more

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Fm 49 trans-vaginal ultrasound dec 2012 gave endometrium thickness 9mm, on march 2013 it says endometrial thickness 14mm. Irregular periods from2month?

Fm 49 trans-vaginal ultrasound dec 2012 gave endometrium thickness 9mm, on march 2013 it says endometrial thickness 14mm. Irregular periods from2month?

See an OB/GYN doctor: In general, gradual thickening of the lining of the uterus (the endometrium) is abnormal. Now, during our menstrual cycle, the lining thickens and sheds off with each period. Progressive thickening might mean abnormalities in the ovary hormones, so that you don't have a normal "shedding, " or possibly a disease that allows overgrowth -- like benign "hyperplasia, " or rarely, a cancer. Good luck! ...Read more

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My ultrasound report's like this:uterus-av, ns. Endometrial thickness-5.2mm. (r)adnexa: (r)ovary-multiple follicle seen. Pouch of douglas-nad. Is it normal?

My ultrasound report's like this:uterus-av, ns. Endometrial thickness-5.2mm. (r)adnexa: (r)ovary-multiple follicle seen. Pouch of douglas-nad. Is it normal?

PCOS: It says that the right ovary is polycystic. Does not tell anything about left ovary. Please discuss the findings with your doctor who has complete medical information about you and can give the best advice. ...Read more

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Ultrasound came back endometrial stripe abnormally slightly thickened (endo hyperplesia possible) but I could possibly be preg Could this be why?

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

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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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Hi good evening my grandmother got her pelvic ultrasound results. Reading.. The endometrial stripe is thickened and heterogeneous but is avascular.?

Hi good evening my grandmother got her pelvic ultrasound results. Reading.. The endometrial stripe is thickened and heterogeneous but is avascular.?

Endometrial biopsy: A thickened endometrium in a postmenopausal woman should be investigated by means of a biopsy, because this could be a pre-cancerous lesion. Had the sonographer described vascularity, concern for malignancy would be much greater. ...Read more

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Would a hysterectomy be wise with an ultrasound result (premenopausal) complicated hypoechoic cyst on ovary and endometrial stripe of 12.9 mm?

Would a hysterectomy be wise with an ultrasound result (premenopausal) complicated hypoechoic cyst on ovary and endometrial stripe of 12.9 mm?

Probably unwise but: A careful medical history and evaluation of your signs and symptoms by a Gyn (including a better description of the size, vascular pattern, blood flow, Doppler characteristics of the ovarian cyst...) would seem wiser. The 12.9 mm findings of your "premenopausal"endometrial lining would also need to be correlated with the day of your menstrual cycle.It too may be normal and need only a reevaluation ...Read more

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A transvaginal ultra sound showed endometrial thickness of 1.0 after my period is this normal.

A transvaginal ultra sound showed endometrial thickness of 1.0 after my period is this normal.

Not significant: Endometrial thickness is not significant in premenopausal women. At your age, if you have irregular heavy periods and not responding to medical management with hormones (OCP), may consider sonohysterography to assess for endometrial polyp. ...Read more

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Post menopause break through bleeding. Ultra sound. 61 cm endometrial stripe. Heterogeneous uterus with 2 small fibroids. Is D and C necessary?

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

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How do you measure the endometrial thickness with intrauterine device in patient with pv bleeding. What is the range?

How do you measure the endometrial thickness with intrauterine device in patient with pv bleeding. What is the range?

<5 mm = good: In general after menopause an endometrial thickness < 5 mm is unlikely to indicate cancer. > 25 mm is very concerning. In between is indeterminate and a biopsy would be the next steps. ...Read more

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I am a 27-year-old married woman. My endometrial thickness measured 17 mm and my uterus is appearing slightly bulky. Any problem in getting concieved?

I am a 27-year-old married woman. My endometrial thickness measured 17 mm and my uterus is appearing slightly bulky. Any problem in getting concieved?

Can not conclude: We can not draw any conclusions about your future fertility based on these findings on an ultrasound. You can discuss the endometrial thickness with your obgyn to see if they feel there might be a polyp or if it warrants further investigation. You can also ask for clarification regarding the use of the term “bulky uterus” which is not a true medical term. ...Read more

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What does it mean if my uterus is 4.8 x 1.9 x 4.1 CM? And endometrial stripe measures 02.2mm in thickness? With 5.7 x 5.4 x 6.2 CM cystic lesion? A

What does it mean if my uterus is 4.8 x 1.9 x 4.1 CM? And endometrial stripe measures 02.2mm in thickness? With 5.7 x 5.4 x 6.2 CM cystic lesion? A

? ovarian cyst: Your uterus sounds normal. You don't say where the cystic lesion is, but most likely it's in the ovary. If so, it needs evaluation, since it's not normal, and likely some type tumor. If the cystic lesion is in the uterus, I'm not sure what to think. ...Read more

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My right ovary measures 17.0mm and endometrial thickness measures 6.8mm I know by follicular study. When should have sex to get pregnant?

My right ovary measures 17.0mm and endometrial thickness measures 6.8mm I know by follicular study. When should have sex to get pregnant?

Ovulation: The best time to have intercourse for purposes of conception is about +/- 2-3 days peri (around)-ovulation. For many/most women, this occurrence/event is mid-cycle (e.g. day 13/14/15). If you have access to OTC (over the counter) ovulation kits, they can be very helpful in reinforcing and/or determining this time frame. ...Read more

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What doe these findings really mean? The uterus measures 9.7 x 6.3 x 5.0 cm in size. Endometrial thickness is 1.0 cm. At least 3 separate uterine mass

What doe these findings really mean? The uterus measures 9.7 x 6.3 x 5.0 cm in size. Endometrial thickness is 1.0 cm. At least 3 separate uterine mass

Large uterus: Your uterus is mild to moderately enlarged and probably has multiple fibroid tumors or myoma of the uterus. If you are still menstruating, then the 1cm endometrial stripe is fine. If you are menopausal then it is not normal and you should have a biopsy of the endometrium ...Read more

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I have done pelvic scan, my both ovaries contains multiple small follicles, rv uterus measures 5.9*3.7 cm, endometrial thickness is 7 mm, what does meamt?

No worries, normal: The scan you describe is normal. They describe the ovaries as normal (having multiple follicles versus a mass etc.). The uterus is normal size and it is rv which stands for retroverted. That means it is tilted toward the back of your pelvis and is otherwise not important (its just the way you're built). The endometrium is the lining of your uterus and the thickness measurement is also normal. ...Read more