Hi!
If you were my patient, I would also give you the option of taking progesterone for 14 days and having a "period" followed by another ultrasound afterwards. The changes that they are noting in your uterus are VERY mild and the thickness of the lining almost entirely rules out cancer of the endometrium.
However, if the progesterone did not help, or if you didn't want to take it, I would suggest a biopsy. They are fairly quick and can be done in the office. I won't say painless though. Adenomatous and hyperplastic means that there is possibly a build up of glandular tissue within the uterus due to stimulation of the endometrium by estrogen (Vagifem). The tissue needs to be sloughed (drained) somehow, or it might continue to build up and eventually become cancerous.
Hope this helps!
Dr B
Thank you, Dr. Brown, for putting my mind at ease. I will talk to my doctor about a course of progesterone.
Thanks again. At this point, I'm more apprehensive of the procedure itself.
Don't worry. The biopsy will be of great value so that hyperplastic changes can be excluded or confirmed. Wish you all the best.
Regards
Thank you for the explanation. The biopsy is in a week....I must say I'm not looking forward to it. Thanks again.
Adenomyosis versus hyperplastic changes means that it can be either of them. Adenomyosis is the presence of endometrial tissues within the myometrium. Hyperplastic changes means that the endometrium is growing in an exaggerated proliferative way.
It will be better to do the biopsy as soon as possible. Vagifem can be the cause of the hyperplastic changes, if the biopsy proves that these are hyperplastic changes.
I feel you must stick to what she said and follow-up regularly.
Regards