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Query from: Anonymous, Unknown, 09/21/09
Topic: DISEASES      Submitted on: Ammas.com
Subject: endometrium thickened

i m married and 3 months back my periods were continued to 15 days.then i consulted my doctor,she advised me to get ultrasound done.then after seeing the report she told me that i had miscarriage.she advised me for DNC.after DNC i was fine,but my periods were delayed for 2 months.after 2 months my periods started,but this time also it remain continued.again i went for ultrasound,and found my endometrium thickened(11.2mm).my doctor prescribed me meprate $for about 15 days(2wice a day-10mg),and after that she told me to get another ultrasound done.to stop the periods she gave me 5 days course of trapic

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After a miscarriage a D&C is required to clean to avoid any future complication due to this miscarriage. It is considered that endometrial thickening is different from endometriosis hence don't be too scared or worried.The inner wall of the uterus is lined by endometrial tissues. The endometrial tissues thicken during the first part of your menstrual cycle. Once ovulation occurs progesterone acts to stop this thickening, and changes the endometrial lining so that it is ready to accept a pregnancy should it occur. If pregnancy doesn't occur, hormone production ceases and the endometrium breaks up and is shed as menstrual blood. www.womenshealth.about…

A thickened endometrium can be due to where you are at in your cycle not to mention numerous other reasons other than cancer.The endometrium total thickness is measured from one uterus wall to the other.

The first step in the treatment of endometrial hyperplasia is a thorough evaluation of the endometrium by means of a D&C; this is essential in order to assess the presence of atypia. Hyperplasia without atypia often regresses spontaneously, after D&C or progestin treatment. Progestin, such as provera, is given continuously, either by mouth or long-acting injections. A D&C is repeated after 3-4 months of treatment to demonstrate resolution of the hyperplasia. Failure of hyperplasia without atypia to resolve (even if no atypia is found) after repeat D&C is cause for concern. A second course of medical therapy may then be tried, consisting of high dose progestins. Following this course of treatment another D&C is performed.Hyperplasia with atypia is considered precancerous. It is best treated surgically with hysterectomy. However, if a patient desires future pregnancy, a trial of hormonal treatment may be given. Progesterone treatment may also be given with an intra-uterine system (IUD) containing progestin (levonorgestrel IUS). If a lower dose progestin regimen fails to clear hyperplasia with atypia, the patient may be given a choice between high dose progestin given continuously over a period of three months or hysterectomy. Failure of the high dose progestin treatment course to completely resolve the hyperplasia with atypia is a clear indication for hysterectomy. Resolution of the hyperplasia on the repeat D&C offers the patient the opportunity to try and conceive. However, she will require close medical supervision with repeat biopsies to monitor the endometrium until pregnancy. The D&C after completion of progesterone treatment should be delayed about a month following completion of the progesterone course of treatment in order not to miss a treatment failure.In pre-menopausal women, high dose progestin treatment with close monitoring is an accepted alternative to hysterectomy in cases of hyperplasia with atypia. In the post-menopausal woman with endometrial hyperplasia with atypia, hysterectomy is recommended.http://althysterectomy.org/hyperpla…

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Thank this advisor   
 
Response from: Dorthy Evangelin,   
Registered Member on Ammas.com
Source: This information comes from my own knowledge.
Hello,

Are you postmenopausal? The cutCuts and puncture wounds-off endometrial thickness for a postmenopausal woman is 5mm (i.e., it should be no greater than 5mm). If this is the case you should have an endometrial biopsy to assess the possibility of malignancyHyperpigmentation w/malignancy Malignancy and pending those results a further work up. Endometrial polyp(s) is a benignBenign ear cyst or tumor Benign positional vertigo cause of sonographic evidence of a thickened endometrium that is quite commonCommon cold.

In menstruating women there is no "normal" endometrial thickness. However what appears thick on ultrasound may be the result of a submucosal fibroidFibroid tumors Uterine fibroids, uterineDysfunctional uterine bleeding (dub) Endometrial cancer Fetal heart and uterine contraction monitor Intrauterine device Intrauterine growth restriction Normal uterine anatomy (cut section) Uterine anatomy Uterine fibroids Uterine prolapse polyp, endometrial hyperplasia (overgrowth of endometrial tissue), blood clot or retained pregnancy tissue (especially after a miscarriage or D&C).

Your physician should be able to give you more details at your appointment.

Best regards,

Dr. Downing

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