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uterus thickening
Candi044 posted:
Hello, I was having very heavy period and large bllod clots and lots of cramping. when to my OBGYN and the did a tranvaginal ultrasound ans said my uterus thicker than normal. the precribed Aygestin 5mg for 10 about 3 or 4 day after taking the last pill I start my cycle it wasnt as heavy but i had a lot of cramping and small blood clots. when I went back for follow up I told him a about my cycle and the clot and how tired my cycle made me he suggested 3 more round of the meds or and D& C i choose the D&C. I was wondering if the cycle could have dont the trick or were my symptom my my cycle enough know I need more treatment.
5 Replies |Watch This Discussion | Report This| Share this:uterus thickeningHello, I was having very heavy period and large bllod clots and lots of cramping. when to my OBGYN and the did a tranvaginal ultrasound ans said my uterus thicker than normal. the precribed Aygestin 5mg for 10 about 3 or 4 day after taking the last pill I start my cycle it wasnt as heavy but i had a lot of cramping and small blood clots. when I went back for follow up I told him a about my cycle and the clot and how tired my cycle made me he suggested 3 more round of the meds or and D& C i choose the D&C. I was wondering if the cycle could have dont the trick or were my symptom my my cycle enough know I need more treatment.
Jane Harrison Hohner, RN, RNP responded:
Dear Candi: Simply stated, if the uterine lining is like grass or lawn, estrogen is like the fertilizer (causes a thickening of the lining ), and progesterone is like the lawnmower (keeps the lining thin by three different mechanisms). This is why DepoProvera (high dose synthetic progesterone) brings about a thin lining, and why birth control pills (relatively progesterone dominant) bring about shorter, lighter periods. The Aygestin 5 mg (synthetic progesterone) for 10 days was prescribed to shrink down your "too-thick" uterine lining. By increasing Aygestin exposure to three more months the GYN was hoping to shrink your lining back to a healthy height. An alternative is to remove the lining mechanically by suction or scraping ("D&C"). With either treatment the situation can reoccur if the underlying cause of the too thick lining is not addressed.
The most common cause for a too thick lining is missed ovulations (no progesterone produced). Causes for not ovulating are multifold: thyroid problems, pituitary problems, ovarian cysts, physical stressors (eg sudden increases in exercise, crash dieting), emotional stressors (problems with parents or boyfriends/girlfriends, exams), increased body weight, anorexia, rotating shifts at work, etc.
Candi, when you see your GYN you might want to get their opinion as to the cause of your too thick lining. It might be helpful to treat the underlying cause in addition to treating the symptom.
Yours,
Jane
The most common cause for a too thick lining is missed ovulations (no progesterone produced). Causes for not ovulating are multifold: thyroid problems, pituitary problems, ovarian cysts, physical stressors (eg sudden increases in exercise, crash dieting), emotional stressors (problems with parents or boyfriends/girlfriends, exams), increased body weight, anorexia, rotating shifts at work, etc.
Candi, when you see your GYN you might want to get their opinion as to the cause of your too thick lining. It might be helpful to treat the underlying cause in addition to treating the symptom.
Yours,
Jane
Report This| Share this:uterus thickeningDear Candi: Simply stated, if the uterine lining is like grass or lawn, estrogen is like the fertilizer (causes a thickening of the lining ), and progesterone is like the lawnmower (keeps the lining thin by three different mechanisms). This is why DepoProvera (high dose synthetic progesterone) brings about a thin lining, and why birth control pills (relatively progesterone dominant) bring about shorter, lighter periods. The Aygestin 5 mg (synthetic progesterone) for 10 days was prescribed to shrink down your "too-thick" uterine lining. By increasing Aygestin exposure to three more months the GYN was hoping to shrink your lining back to a healthy height. An alternative is to remove the lining mechanically by suction or scraping ("D&C"). With either treatment the situation can reoccur if the underlying cause of the too thick lining is not addressed.<br /><br />The most common cause for a too thick lining is missed ovulations (no progesterone produced). Causes for not ovulating are multifold: thyroid problems, pituitary problems, ovarian cysts, physical stressors (eg sudden increases in exercise, crash dieting), emotional stressors (problems with parents or boyfriends/girlfriends, exams), increased body weight, anorexia, rotating shifts at work, etc.<br /><br />Candi, when you see your GYN you might want to get their opinion as to the cause of your too thick lining. It might be helpful to treat the underlying cause in addition to treating the symptom.<br /><br />Yours,<br />Jane
Candi044 replied to Jane Harrison Hohner, RN, RNP's response:
Thanks some much! I had the D&C and will get the results next Friday. So hopefully that will shed some light on things.
Report This| Share this:uterus thickeningThanks some much! I had the D&C and will get the results next Friday. So hopefully that will shed some light on things.
Great, let us know what you find out. JHH
Candi044 replied to Jane Harrison Hohner, RN, RNP's response:
I know Im late getting back tto this discussion, but my results can back and everything is fine. I have one more question the last day off my period was on the 6th had my d&c on the 7th how soon should i start my period again?
Report This| Share this:uterus thickeningI know Im late getting back tto this discussion, but my results can back and everything is fine. I have one more question the last day off my period was on the 6th had my d&c on the 7th how soon should i start my period again?
Dear Candi: Thanks so much for taking the time to let us know your D&C (endometrial biopsy) results. How great that there were not any abnormal, precancerous cells found.
In terms of when to expect your next flow, it depends upon what your cycle pattern was like before the D&C.Usually predictable periods are triggered by very regular ovulations. One of the causes of "too-heavy" flows and a thickened uterine lining is missed or infrequent ovulations. If this was the case for you it can be difficult to predict when your next flow will arrive. It is likely that your last flow was triggered by stopping the progestin/Aygestin medication--not an ovulation. A GUESS would be that you will have another flow within six weeks of stopping the last Aygestin. Yet it's really hard to predict. Your own GYN should be able to give you the most accurate answer as they know your prior GYN history.
Yours,
Jane
In terms of when to expect your next flow, it depends upon what your cycle pattern was like before the D&C.Usually predictable periods are triggered by very regular ovulations. One of the causes of "too-heavy" flows and a thickened uterine lining is missed or infrequent ovulations. If this was the case for you it can be difficult to predict when your next flow will arrive. It is likely that your last flow was triggered by stopping the progestin/Aygestin medication--not an ovulation. A GUESS would be that you will have another flow within six weeks of stopping the last Aygestin. Yet it's really hard to predict. Your own GYN should be able to give you the most accurate answer as they know your prior GYN history.
Yours,
Jane
Report This| Share this:uterus thickeningDear Candi: Thanks so much for taking the time to let us know your D&C (endometrial biopsy) results. How great that there were not any abnormal, precancerous cells found.<br /><br />In terms of when to expect your next flow, it depends upon what your cycle pattern was like before the D&C.Usually predictable periods are triggered by very regular ovulations. One of the causes of "too-heavy" flows and a thickened uterine lining is missed or infrequent ovulations. If this was the case for you it can be difficult to predict when your next flow will arrive. It is likely that your last flow was triggered by stopping the progestin/Aygestin medication--not an ovulation. A GUESS would be that you will have another flow within six weeks of stopping the last Aygestin. Yet it's <u>really</u> hard to predict. Your own GYN should be able to give you the most accurate answer as they know your prior GYN history.<br /><br />Yours,<br />Jane
