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Doctor insights on: Treatment For Thick Uterine Lining

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I m diagonoed with bulky uterus 16mm endometrial lining. My age is 52 yrs n facing heavy irregular bleeding. What is the treatment?

I m diagonoed with bulky uterus 16mm endometrial lining. My age is 52 yrs n facing heavy irregular bleeding. What is the treatment?

Endometrial biopsy: This could be anything from perimenopausal bleeding to something more serious. You should follow up with your physician for an endometrial biopsy and to discuss medical (ocp's, lysteda, iud) vs surgical treatments such as endometrial ablations or hysterectomy. ...Read more

Uterus (Definition)

The uterus is a muscular organ in a woman's pelvis where the the fertilized egg attaches ...Read more


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Do I need treatment now, no symptoms, 1 yr ago endometrial lining thickened to 39 mm, uterus enlarged to 13 weeks size with lots of small fibroid?

Do I need treatment now, no symptoms, 1 yr ago endometrial lining thickened to 39 mm, uterus enlarged to 13 weeks size with lots of small fibroid?

Maybe: If had a biopsy a year ago and your doctor ruled out cancer as cause of your thickened lining, and you're not having any irregular bleeding, then you might be okay. An endometrial biopsy is only good for 1 year, so it may be time to discuss any uterine conditions with your doctor again. Lots of small fibroids often do not need to be operated on, especially close to menopause. Call dr for appt. ...Read more

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Uterine lining thick before period?

Uterine lining thick before period?

Endometrium: The normal menstrual cycle is associated with an increasing thick lining prior to your period. You have a period because this lining sloughs off in a cyclic fashion each month. ...Read more

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5 days into cycle uterine lining meaasured 7mm already had hysteroscopy which showed mildly proliferative but is 7mm too thick?

5 days into cycle uterine lining meaasured 7mm already had hysteroscopy which showed mildly proliferative but is 7mm too thick?

No: 7mm would likely be consistent with the endometrium specimen that shows mild proliferative. Proliferative just means the lining is getting prepared for ovulation. In general once the lining gets over 15mm in thickness then we start worrying about the possibility of hyperplasia. If overly concerned consider getting an endometrial ablation. I prefer Novasure. That should end all bleeding issues. ...Read more

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Progestin is used to thin out uterine lining. But I passed 1 inch thick piece of lining after over dosing myself with progestin for 3 weeks. Why?

Progestin is used to thin out uterine lining. But I passed 1 inch thick piece of lining after over dosing myself with progestin for 3 weeks. Why?

Does both: Progestins can thin the endometrium but they also will cause sloughing of a secretory endometrium, it depends on the specific situation and timing. Btw it's not really possible to 'overdose' on progestins, good news! ...Read more

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Dr. Is it possible that high doses of sythetic progestin for 2 months did not thin out my uterine lining but caused it to pass? (2cm long, 1.5cm thick)

Yes: The Progesterone is to stabilize the lining and then allow it to pass. Sometimes a large amount of the lining pass at the same time while other times only bots and pieces will pass over a longer period of time. ...Read more

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Thick uterine lining no polyop or fibroid just thick at top right reasons for this please?

Thick uterine lining no polyop or fibroid just thick at top right reasons for this please?

Probably normal: If there was no polyp or fibroid seen, it's probably normal. It may just be a fold in the lining. At your age, the risk of anything bad like cancer or even precancerous changes is highly unlikely. ...Read more

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My bleeding profile with Nexplanon was near constant at 5+ months of use. Would this indicate my uterine lining is on the thin side or thick side?

My bleeding profile with Nexplanon was near constant at 5+ months of use. Would this indicate my uterine lining is on the thin side or thick side?

Neither: It's just one of the problems that come with that type of birth control. It doesn't indicate much about the status of your endometrium. But you should go get checked by an MD (not a nurse practitioner) to make sure you're not anemic from that much bleeding. ...Read more

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Just found out my uterine lining is thick and I have a polyp. Is this a sign of cancer?

Not yet: You do need to get a diagnosis. Don't procrastinate and you should be fine; if this is cancer and you've kept up surveillance, you are still by far more likely to have a good outcome. ...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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I am 57 & postmenopausal for 6 yrs. I have had heavy spotting for 4 weeks. Had a tvu which found thick uterine lining, 22.7. Can polyps cause this?

I am 57 & postmenopausal for 6 yrs. I have had heavy spotting for 4 weeks. Had a tvu which found thick uterine lining, 22.7. Can polyps cause this?

See Your GYN!: A thickened uterus in a postmenopausal woman can be a sign of pathology or something occuring abnomally in the pelvis. You need further evaluation to ensure that the condition isn't more serious, especlally, bleeding in a postmenopausal woman is very concerning. ...Read more

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Sometimes, women pass thick uterine lining in period. After having progestin, why did I pass one? Progestin should prevent it from thickening, right?

Sometimes, women pass thick uterine lining in period. After having progestin, why did I pass one? Progestin should prevent it from thickening, right?

Withdrawal bleeding: Yes Progesterone counters Estrogens effect to grow the lining but when Progesterone is stopped you will clean the lining more completely. Be careful to take Progesterone under mds supervision. A pill will give you better cycle control and birth control. ...Read more

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Uterine lining 6mm thick 6 mos. Ago & Dr. Monitored. Did another ultrasound & now 9mm thick & will do D&C. Could cancer develop in that amount of time?

Uterine lining 6mm thick 6 mos. Ago & Dr. Monitored. Did another ultrasound & now 9mm thick & will do D&C. Could cancer develop in that amount of time?

Biopsy will tell: There are several causes of a thickened urterine lining:

Hyperplasiis, polyps, horomonal (estrogen excess) can also cause a thicker uterine liniing. A D&C and a pathologist reading of your biopsy will reveal what the cause is. Cancers themselves can be either slow or fast growing but the process begins long before it is noted. No need to speculate - await th epatholgoist report. ...Read more

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47yr old LMP 7/24/17 I’m close to menopause, my FSH was 53.2. My uterine lining is 4.1mm, is this too thick and worrisome for cancer?

47yr old LMP 7/24/17 I’m close to menopause, my FSH was 53.2. My uterine lining is 4.1mm, is this too thick and worrisome for cancer?

Uterine lining is ok: Your endometrium is not "too thick". The risk that a uterine lining of 4.1 mm would be associated with cancer is so remote as to be negligible. There is little cause for alarm. If you are terribly concerned, are bleeding irregularly and insist on having more peace of mind, you may want to discuss the pros and cons of an office endometrial sampling or of a saline sonohysterogram with your Gyn. ...Read more

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Was instructed to take Prometrium (micronized progesterone). But Doctor also says my uterine lining was very healthy n thick @ 9.5. if I don't need it why take it?

Was instructed to take Prometrium (micronized progesterone). But Doctor also says my uterine lining was very healthy n thick @ 9.5. if I don't need it why take it?

Clarification: When prescribed a new medication it is always good ask for clarification on the goals, duration of treatment, excepted outcomes and side effects. Without knowing more about your case we can not provide specific guidance but these are good questions to ask the prescribing doctor who knows all of the details ...Read more

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Hi there, so if your uterine lining is thick, it doesn't really mean, you have cancer, right? Could be just hiperplasia? I took prometrium for 10 days and the 11th was the first day of my period, but today, the 24th, after I thought it stopped on the 17th

Hyperplasia.: Endometrial thickening means exactly what it says-- the lining of your uterus is thick. It does not mean you have cancer! At 38, that's very unlikely. Taking estrogen or having high estrogen levels can increase endometrial thickness and lead to cancer, but usually in women over age 60. Take a deep breath! ...Read more

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So confused why prescribed prometrium (micronized progesterone) for just thick uterine lining if its used to thicken lining?

So confused why prescribed prometrium (micronized progesterone) for just thick uterine lining if its used to thicken lining?

Let me help.: Prometrium (micronized progesterone) is a type of progesterone. Progesterone stabilizes the lining of the uterus and tells it not to get any thicker. When you stop taking the progesterone, a few days later the lining will come out like a period. It's actually the estrogen that makes the lining grow thicker and the Progesterone that stabilizes the lining. ...Read more

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Had a frozen embryo transfer yesterday. My second one. This morning had some bleeding. Started red and is now brownish. My dr said not to worry. Uterine lining was thick and good yesterday. Thoughts?

Had a frozen embryo transfer yesterday. My second one. This morning had some bleeding. Started red and is now brownish. My dr said not to worry. Uterine lining was thick and good yesterday. Thoughts?

Doctor is right: This happens a lot - that's why your doctor is right telling you not to worry. If he/she believed there was cause efor worry and something to do about it, you can be guaranteed he/she would help you. I know it's normal to worry, but it doesn't do any good. Follow instructions, and good luck. ...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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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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Hcg 1419 @ 18 days past conception. Uterine lining is "quite thick" per doctor, 5cm corpus luteum cyst. Possible small gestational sac seen. Normal?

Hcg 1419 @ 18 days past conception. Uterine lining is "quite thick" per doctor, 5cm corpus luteum cyst. Possible small gestational sac seen. Normal?

Yes: Everything you state sounds good. In addition, you actually want a nice thick lush endometrium to support the pregnancy. The corpus luteum provides the progesterone you need until the placenta takes over production around 12 weeks. ...Read more