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:
A
A
A
Background:
Blank
Blank
Blank
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 way...it 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
242596_tn?1192429549
Hello,

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
Blank
Avatar_n_tn
A related discussion, Endometrial thickening post menopause was started.
Blank
Continue discussion Blank
This Forum's Experts
603463_tn?1220630455
Elaine Brown, MDBlank
Elaine Brown, MD - BLOG
Billings, MT
MedHelp Health Answers
Blank
Weight Tracker
Weight Tracker
Start Tracking Now
RSS Expert Activity
242532_tn?1269553979
Blank
How to Silence Your Inner Critic an...
Apr 16 by Roger Gould, M.D.Blank
242532_tn?1269553979
Blank
Emotional Eaters: How to Silence Yo...
Mar 26 by Roger Gould, M.D.Blank
1344197_tn?1392822771
Blank
Vaginal vs. Laparoscopic Hysterecto...
Feb 19 by J. Kyle Mathews, MD, DVMBlank