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Doctor insights on: Thick Endometrial Lining After Menopause

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10-12 after menopause I am bleeding, not a lot but any scares me. Why am I bleeding now? Very stressful day and took a walk fof over an hour after 2-3 years. Also did a lot of yard work for the first time this year.

10-12 after menopause I am bleeding, not a lot but any scares me. Why am I bleeding now? Very stressful day and took a walk fof over an hour after 2-3 years. Also did a lot of yard work for the first time this year.

See your doctor: Bleeding after menopause (defined as 1 year without a period or any bleeding) is always a reason to see your gyno. Your activity is unlikely to be a cause. There are some simple causes, such as a dry vagina and bleeding after sex, and some more worrisome causes that definitely need evaluation and treatment (pre-cancers and cancer). Don't worry, but do make an appointment today. ...Read more

Dr. Janet Greenhut
1,739 Doctors shared insights

Menopause (Definition)

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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What're the chances of a very thick endometrial lining being cancerous in a post menopausal woman?

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

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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?

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?

Maybe not: If, at age 61 you have a innate or exogenous (outside0 source off unopposed estrogen, then the endometrium may grow again. If you are taking HRT (hormone replacement therapy) make sure that progesterone is added to the regimen to avoid estrogen only endometrium stimulation. ...Read more

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Endometriosis related to thick uterus lining even after menopause?

Endometriosis related to thick uterus lining even after menopause?

Unlikely: Endometriosis is related to estrogen. After menopause a woman's estrogen goes way down and endomtriosis isn't as painful. Thick lining of the uterus after menopause needs an endometrial biopsy to make sure no precancerous cells are growing. ...Read more

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Endometrial lining growing back after D & C 5 mos. Ago., no malignancy. Dr. now recommends hysterectomy. How likely is this cancer in post menopause?

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

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Post menopause period. Tvu indicated endometrial lining 6mm. After d & c doc said there was not much lining to scrape. Biopsy clear. What is it?

Post menopause period. Tvu indicated endometrial lining 6mm. After d & c doc said there was not much lining to scrape. Biopsy clear. What is it?

Within normal limits: What you describe is very typical for a woman of your age after a dnc there is very little enemy gym regenerating your endometrium is in an inactive state and this is typical you should not be worried. ...Read more

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Cont bleed after menopause for 2 mo going through super+ tampon in 2 hrs. When is bleeding an emergency? Diagnosis thick ut lining. Waiting ok 4 hyst

Cont bleed after menopause for 2 mo going through super+ tampon in 2 hrs. When is bleeding an emergency? Diagnosis thick ut lining. Waiting ok 4 hyst

Could be an issue: Heavy bleeding like you describe especially after menopause could definitely be an issue. A thick uterine lining could indicate an endometrial cancer. Your doctor should do an endometrial biopsy or a D&C to determine. A hysterectomy is an option but I would want to rule out a cancer prior. ...Read more

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Spotting and thick uterus lining after menopause, is it danger?

Requires attention: More often than not, when caught early, this situation is not cancer, but should be evaluated and treated asap. If cancer, and treated early can be cured. If not cancer, it will not go away or get better, and must be treated sooner or later anyway. Delay could lead to cancer. ...Read more

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Besides cancer, why would the uterus lining be thick after menopause?

Besides cancer, why would the uterus lining be thick after menopause?

Overgrowth or polyp: Women often experience an overgrowth of the lining of their uterus, the endometrium, called hyperplasia. The hyperplasia may be only simple, requiring only hormonal treatment, or complex, with atypia, which is more worrisome since it can be precancerous, best treated with hysterectomy. If the uterine lining's thickness was noted on an ultrasound, it may also be due to a polyp, usually benign. ...Read more

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40yr old, uterine polyp endo lining thick, estrogen high. No menopause yet. Will amberen work for me to balance hormones?

40yr old, uterine polyp endo lining thick, estrogen high. No menopause yet. Will amberen work for me to balance hormones?

No: I've checked the ingredient list for amberen and do not see anything listed that would be either helpful or harmful in this situation. With a thick lining, high estrogen and a polyp, a cancer or precancer must be ruled-out and treatment with natural Progesterone the best option in many situations. ...Read more

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My endometrial lining is 20mm thick. I am post menopausal and have been feeling a dull ache or pressure in my lower abdomen. Should I be worried?

Yes: If you know that your linig is 20 mm then you are already in good hands: talk to your doctor about next steps. Simple expectant management is not an option. ...Read more

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I am 60 and have been post-menopausal for 20 years. I've taken bhrt for most of that time. My uterine lining is thick (abt 3-5 cm) and I am to have a prometrium (micronized progesterone) sweeping. [rest of q in subsequent msg]?

I am 60 and have been post-menopausal for 20 years. I've taken bhrt for most of that time. My uterine lining is thick (abt 3-5 cm) and I am to have a prometrium (micronized progesterone) sweeping. [rest of q in subsequent msg]?

Uh oh: If your uterine lining is really 3-5 centimeters thick - you need to have some form of biopsy done (endometrial biopsy in the office) or d&c.The uterine lining of a postmenopausal women should be closer to 3 millimeters, and if it is 3cm, there is a very high chance of having endometrial cancer.I don't know what Prometrium (micronized progesterone) sweeping is, but if it is taking Prometrium (micronized progesterone) for 7d, to cause. It isn't enoug. ...Read more

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Refuse to take prometrium anymore due to breast cancer risk. I am close to menopause get thick lining w/polyp is ablation an alternative?

Refuse to take prometrium anymore due to breast cancer risk. I am close to menopause get thick lining w/polyp is ablation an alternative?

Seek Gynec guidance: Endometrial thickening may require a endometrial biopsy which can also remove the polyp. Ask your gynecologist's advice or seek a second opinion about the next steps for diagnosis and treatment for your problem in your Uterus.. ...Read more

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What does it mean when the endometrial lining is thick?

What does it mean when the endometrial lining is thick?

Depends: A thick endometrium can be normal if it is part of a normal ovulation cycle. However if your periods are not normal, it may be abnormal. If concerned, a doctor can do a simple biopsy. Sometimes it can be treated with medication, or possibly with outpatient surgery if needed. ...Read more

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My endometrial lining is 7mm thick and I am postmenopausal, what does this mean?

My endometrial lining is 7mm thick and I am postmenopausal, what does this mean?

Think endometrium: This is thicker than normal for a postmenopausal woman, so it means that you will need evaluation of your endometrium in the form of endometrial biopsy or d&c. The results are often benign, but a biopsy will be done to rule out endometrial cancer or endometrial hyperplasia. ...Read more

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What could cause endometrium line to be thick after menopause.?

What could cause endometrium line to be thick after menopause.?

Too much estrogen: If the endometrium is abnormally thickened then estrogen is the usual source for the same. It can be from hormone replacement therapy unopposed by progesterone or large amounts of natural estrogen from the ovaries or elsewhere. ...Read more

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What are the benign causes of thick endometrium line after menopause. .. And what are the chances?

What are the benign causes of thick endometrium line after menopause. .. And what are the chances?

Overgrowth: After menopause the endometrial lining should be thin ideally less than 5mm on a sonogram. If it is above 25 mm this is concerning. Measurements in between must be analyzed on an individual basis. Causes include fibroids, polyps, endometrial hyperplasia and in some cases endometrial cancer ...Read more

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Endometrial biopsy done because uterine lining 9mm thick. Benign, but Dr only able to get scant tissue sample. Why would that happen?

Endometrial biopsy done because uterine lining 9mm thick. Benign, but Dr only able to get scant tissue sample. Why would that happen?

Aspiration device: If your MD used a aspiration endometrial biopsy device then a small sampling was all that was needed to give a benign "diagnosis." The "olden days" in office scraping is usually no longer done unless it was a D & C in a surgical environment. ...Read more

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What could be the cause of my thick endometrial lining (21mm on CD 11)? My endometrial biopsy results were normal and all hormone testing is normal.

What could be the cause of my thick endometrial lining (21mm on CD 11)? My endometrial biopsy results were normal and all hormone testing is normal.

Endometrium: The uterine lining may keep growing in response to estrogen. It can occur in PCOS, obesity, taking medications that increase estrogen levels. It is good that you are getting evaluated for it. ...Read more

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26 yr old female. Pelvic ultrasound 2 weeks post period showed endometrial lining 12mm thick. Previous ultrasound 15mm a month prior. Concerns?

26 yr old female. Pelvic ultrasound 2 weeks post period showed endometrial lining 12mm thick. Previous ultrasound 15mm a month prior. Concerns?

Probably: Not. If the endometrium otherwise looks normal, there is expected variation within the cycle and also technical variations between exams. So it is likely that there is nothing of concern. ...Read more

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If had endometrial biopsy w/ office hysteroscopy for thick lining path came back normal been on progesterone for 7 months could be cancer now?

If had endometrial biopsy w/ office hysteroscopy for thick lining path came back normal been on progesterone for 7 months could be cancer now?

Unlikely: Alot depends on your biopsy diagnosis. If it wasjust a thickened lining, and no evidence of hyperplasia, and you were treated with Progesterone for 7 months, a maligancy would be very unlikely. ...Read more

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Vaginal ultrasound showed endometrial lining 14mm thick & I still had 15 days till period due. Suffering from lower pelvic pain& post-coital bleeding?

Vaginal ultrasound showed endometrial lining 14mm thick & I still had 15 days till period due. Suffering from lower pelvic pain& post-coital bleeding?

More info: Any post coital bleeding warrants an exam of the cervix and make sure pap up to date as wouldn't want to miss precancer of cervix as cause. Lining is perfectly normal for your # day in cycle. Possibly adenomyosis or endometriosis as cause of pain and bleeding? Talk to md about these & other possibilities! ...Read more

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What does it mean if the edometrial lining is thick?

Hypertrophy: When the period occurs the endometrium is shed. If you don't have a period, the lining becomes thickened, this is very treatable, but also very serious. Endometrial cancer can arise from a thickened endometrium. ...Read more

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My endometrium lining is 7.5mm. And I had menopause 4 years back? Is this normal?

My endometrium lining is 7.5mm. And I had menopause 4 years back? Is this normal?

A little thick: Individual cases must be evaluated by a doctor. In general we expect the endometrial lining to be less than 5 mm in a post menopausal woman. Your obgyn can determine based on your unique history if an endometrial biopsy or other evaluation is warranted or not. ...Read more

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What is the acceptable range for endometrium lining before and after menopause for 50 yrs Asian women? If within range, is biopsy required for my age?

Bleed: If post menopausal lining should be less than 5 mm. If you are having abnormal bleeding I would do the biopsy just to be safe. ...Read more