I have been diagnosed with thick endometrium lining. I am premenoposal at 48 years old. On occasion,,,I will have a normal period,,then it will return 2-3 days after stopping and will continue another few days. My doctor said that we will keep track of this and when it happens again, she would want me to have another ultrasound and take it from there. I did have a biopsy and ultrasound for this problem 2 years ago. The biopsy was normal and the ultrasound revealed the thickening of the unterine lining. I am now concerned since I read that this could lead to abnormal cells developing and cancer. Should I be more proactive in getting this taken care of or should I just wait until the abnormal bleeding happens again? I'm concerned.
With the missed ovulations and erratic periods of perimenopause, thickening of the endometrium is fairly common. The lining should be thinnest right after a period so a u/s would seem most useful at that point. Most hyperplasia does not progress to cancer and most are treatable with a progestin. Hyperplasia with atypia is more concerning than without atypia. Here are a couple of resources: http://www.acog.org/~/media/For%20Patients/faq147.pdf http://www.jfponline.com/Pages.asp?AID=3184 Table 2 (about mid-page) shows regression, persistence and progression rates by type (simple, complex, with and without atypia).
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