Gynecology / Women's Health Expert Forum
Thick Uterine lining
About This Forum:

This forum is for questions and support regarding gynecology issues such as: Cervical Disorders, Colposcopy, Cramps, Cystitis, Fallopian Tube Disorders, Menstruation, Ovarian Disorders, PAP Test, Pelvic Exam, PID, PMS, Surgery, Tests, Ultrasound, Uterine Disorders, Vaginal Disorders.

Font Size:
This expert forum is not accepting new questions. Please post your question in one of our medical support communities.
Blank Blank

Thick Uterine lining

I am 49 and possibly menopausal. I have missed periods for 4 months and then had a heavy w/ clots, followed by a month with little flow.
Then 4 months without.
The Dr. said my uterine lining was thick. Didn't tell me how thick...I had an ultrasound which confirmed the thick lining but no fibroids.

The dr. put me on progesterone to try to release the lining but nothing happened.

He gave me an additional 7 day dose of progesterone and still nothing happened.

They said that it had to come out but they didn't tell me the next step.
Just...take the pills and then call us either has to come out and we'll discuss it then.
Which...left me silly SCARED!
What is the next step?  I'm also obese and taking tamoxifen for reduced chance of breast cancer
Related Discussions

The proper work up for irregular bleeding in a woman over 35 would include ruling out pregnancy, checking for an endocrine abnormality (e.g., thyroid hormone changes), assessing for structural lesions within the uterus (like endometrial polyps/fibroids usually by office hysteroscopy--i.e., looking inside the uterus with a small camera--or sonohysterogram--instilling saline into the uterus while simultaneously having a ultrasound), considering anovulation (not ovulating monthly reflective of perimenopause) and performing an endometrial biopsy to look for abnormal tissue inside the uterus (e.g., endometrial hyperplasia or cancer).  With those results proper treatment can be instituted.  

In your situation an endometrial biopsy will be critical because your obesity and use of Tamoxifen put you at risk for have precancerous or cancerous changes to your endometrium.

Best regards,

Dr. Downing
1 Comment
A related discussion, Endometrial thickening post menopause was started.
Continue discussion Blank
This Forum's Experts
Elaine Brown, MDBlank
Elaine Brown, MD - BLOG
Billings, MT
MedHelp Health Answers
Weight Tracker
Weight Tracker
Start Tracking Now
RSS Expert Activity
New Cannabis Article from NORTH Mag...
Jul 20 by John C Hagan III, MD, FACS, FAAOBlank
3 Reasons Why You are Still Binge E...
Jul 14 by Roger Gould, M.D.Blank
Emotional Eating: What Your Closet ...
Jul 09 by Roger Gould, M.D.Blank