Endometrial thickening

Hello,
   Thanks so much for taking the time to read this.  I am 52, and going through peri-menopause for quite a while now.  I started having irregular periods, but then they pretty much stopped.  I then had a period, and now have some spotting symptoms around the past 6 months or so.  3 years ago, I was found to have an endometrial thickening of 9mm, and so my doctor did an endometrial biopsy, which came back benign.  Now, I went in for my recent symptoms, and did the US, and was found to have a thickening of 16mm.  I am scheduled to have a hysteroscopy, a D & C, and a biopsy on Wednesday.  Should I feel at all reassured that I did have the benign endometrial biopsy 3 years ago, and that cancer is usually slow growing in the Uterus?  Is 16mm, given how large of a thickening that is, highly suggestive of cancer, or could it still be hyperplasia, or does that sound to thick for that?  It seems like most of the people that have hyperplasia that I've been reading on here have much less thickness than I do.  Thanks so much!!!

[Bhupinder Kaur, MD]

Hello,
From your post it looks like endometrial thickening and hyperplasia rather than any malignancy. But Endometrial hyperplasia is a significant risk factor for the development or even co-existence of endometrial cancer, so careful monitoring and treatment with this disorder is essential.

You should go ahead with endometrial biopsy as it will confirm the diagnosis.

It is very difficult to precisely confirm a diagnosis without examination and investigations and the answer is based on the medical information provided. For exact diagnosis, you are requested to consult your dermatologist. I sincerely hope that helps. Take care and please do keep me posted on how you are doing.