No period for 4 years, now bleeding again....

[CindyC56]

I had to have an ultrasound done and I would like someone to please explain the results....I havent been back to the dr yet to have him explain....
Uterus is 7.9 x 3 x 4.6 cm. Midline endometrium is 4 mm thick. No focal
myometrial abnormality noted. The right ovary is 2.1 x 1.5 x 1.3 cm and
the left ovary is 2.5 x 2 x 1.4 cm. No obvious adnexal masses noted.
Thank you!

[old_before_my_time]

You are unlikely to need a hysterectomy. Only 2% of hysterectomies are done for confirmed cancer. Hysterectomy is the most overused surgery.  76% do not even meet ACOG criteria for the surgery. The study that showed this said that many gynecologists do not do the proper workups to get a diagnosis and/or offer hysterectomy over conservative (organ-sparing) treatments. The cause of the sharp pain needs to be determined in order to decide on appropriate treatment. And it is possible it is not even gyn related. It could be bladder or bowel related.

Hysterectomy causes long-term damage to internal anatomy (bladder, bowel, vagina) and skeletal structure (spine, hip, rib cage alignment) and disrupts natural hormone production and is associated with loss of sexual function. The ovaries of an INTACT woman produce hormones into her 80's for good health and well-being. Hormone replacement is a misnomer as nothing can properly replace our bodies' own hormones.

Hoping you get proper workup and treatment!

[CindyC56]

I was wondering if it might come down to having a hysterectomy...My mother and grandmother both have had one....My other grandmother had breast cancer....
The sharp pain is what is worrying me very much....

[old_before_my_time]

4mm endometrial thickness is considered acceptable in post-menopausal women who are not on HRT although there has been some discussion about changing it to 3mm.

If you have polyps or small fibroids, those can sometimes be difficult to differentiate from the lining itself. And those can cause bleeding but are typically nothing of which to be concerned since they are almost always benign. Also, something as simple as sporadic ovarian activity can cause post-meno bleeding. Did you have any "warning" signs such as full or sensitive breasts or PMS type symptoms? If so then that would tend to point to some estrogenic activity from your ovaries. The ovaries do not shut down at menopause. They continue to produce hormones into a woman's 80's especially testosterone that can convert into estrogen.

However, they do say that any post-menopausal bleeding should be investigated to rule out anything serious. Your doctor may want to do an endometrial biopsy.