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Fertility / Infertility (Expert Forum)
Endometrial lining
Answered by
Elaine Brown, MD - Pregnancy, Gynecology
Elaine Brown, MD - BLOG
Billings - MT
Questions in the Fertility/Infertility forum are answered by doctors affiliated with USF Health. Topics covered include fertility or infertility issues, egg quality, fertility drugs and side effects, fertility tests, genetic testing, in-vitro fertilization (IVF), ovulation, relationship issues, risk factors, sperm count/quality, and surgery.
Endometrial lining
by ciaobella, May 15, 2009 02:11PM
Hi,
I've been trying to get pregnant for over a year and recently started fertility treatments. I had a transvaginal ultrasound which showed an endometrial thickening. I was given Lupron to see if it came down and by my next visit it was 4mm (this was about a week and a half ago). Since that time, I've been taking 75 mg of follistim and the endometrial wall is now 14mm. Aside from not getting pregnant, should I be concerned about endometrial cancer? My reporductive specialist didn't seem worried after he saw that the lupron brought it down to 4mm. Any thoughts? Thanks
I've been trying to get pregnant for over a year and recently started fertility treatments. I had a transvaginal ultrasound which showed an endometrial thickening. I was given Lupron to see if it came down and by my next visit it was 4mm (this was about a week and a half ago). Since that time, I've been taking 75 mg of follistim and the endometrial wall is now 14mm. Aside from not getting pregnant, should I be concerned about endometrial cancer? My reporductive specialist didn't seem worried after he saw that the lupron brought it down to 4mm. Any thoughts? Thanks
Doctor's Answer
by Elaine Brown, MD, May 15, 2009 03:09PM
, May 15, 2009 03:09PMTo: ciaobella
Hi!
Lupron would not have worked on endometrial cancer. In other words, the lining would have stayed thick inspite of the lupron if you had cancer. Also, 14mm is a very nice (optimal) number to have if you are hoping to conceive. If you don't conceive, you should have a nice "healthy" period and the lining should become thin again and start over.
Since you are young and premenopausal, your lining should thicken and thin out monthly. If you conceive it will take care of itself. The only time you need to worry about endometrial cancer would be if you are not on any medications, and you are not having your period for prolonged periods of time (eg 6mos to 1 year). Even then, we can usually reverse any changes by giving progesterone orally.
Good luck!
Dr B
Lupron would not have worked on endometrial cancer. In other words, the lining would have stayed thick inspite of the lupron if you had cancer. Also, 14mm is a very nice (optimal) number to have if you are hoping to conceive. If you don't conceive, you should have a nice "healthy" period and the lining should become thin again and start over.
Since you are young and premenopausal, your lining should thicken and thin out monthly. If you conceive it will take care of itself. The only time you need to worry about endometrial cancer would be if you are not on any medications, and you are not having your period for prolonged periods of time (eg 6mos to 1 year). Even then, we can usually reverse any changes by giving progesterone orally.
Good luck!
Dr B
Member Comments (1)
by SOEAUNG, Jul 22, 2009 06:55AM
A related discussion, thin uterine lining & misscarriage was started.
