thickening of the uterus after menopause

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Dr. Barbara Toppin answered:

What are some causes of uterus thickening after menopause?

Depends

Menopause
Some women taking hormonal replacement may have a thickened lining. Women who are diabetic, obese, may also have thickening. Polyps may appear as a thickened lining as can certain cancers. If the lining is thick a simple D&C, hysteroscopy (looking inside with a scope) will provide rapid answers.
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Dr. Sandor Mecs answered:

Does your uterus shrink after menopause?

Just a little

Menopause
Your uterus will undergo a little shrinkage after menopause, in some women more than in others, but if it was significantly enlarged before menopause it will not shrink back to normal size.
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Dr. Sandor Mecs answered:

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

Requires attention

Menopause
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.
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Endometriosis related to thick uterus lining even after menopause?

Unlikely

Endometriosis
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.
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Dr. Sandor Mecs answered:

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

Overgrowth or polyp

Cancer
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.
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How common is carcinoma of uterus nearing menopause or after menopause?thanks

Peak incidence

Endometrial_cancer
uterine cancer peak incidence 49 yrs and older ( Premenopausal and menopausal woman.Rare in younger woman.
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Will my uterus shrink after menopause? I have very painful adenomyosis which presses on my bladder.

Good chance

Uterine
that you will get alot of relief after menopause. Conservative surgery for adenomyosis is often unsatisfactory. Hysterectomy coudl bea good choice if you are not ineterested in future childbearing.
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Will my uterus shrink after menopause, I have very painful adenomyosis which presses on my bladder.?

Yes

Open-uri20121104-25108-tor7q9
Once you go through menopause, defined as no period for 12 months, then your uterus will get slightly smaller and the adenomyosis will get better. If there is ANY confusion about the source of your pain, call your doctor !
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Is a hysterectomy after menopause the best answer for hormone therapy if you have uterine fibroids?

It depends

Hormone
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.
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Biopsy/ultrasound scheduled for 3 weeks. If I have uterine cancer, would I bleed continually ? I am 2 yrs after menopause.

Yes

Uterine_cancer
Precancerous of the uterus, called complex atypical hyperplasia, or actual cancer of the uterus will cause post menopausal bleeding. It sounds like you are being evaluated appropriately as an endometrial biopsy and pelvic ultrasound are exactly what needs to be done next.
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