Pelvic Ultrasound -- confused

[BlisterSister]

I received the results of my pelvic ultrasound, and more confused than anything.  I've been having extra periods (with heavy cramping & clotting) and often spot (brownish discharge) between periods.  I also have some bowel & bladder "issues", as well as extreme fatigue (although my hemoglobin is fine), and difficulty losing weight.  I thought my thyroid was shot, but those values looked great.  This is what my US report says:
-The uterus is anteverted.  It measures 9.4 cm. x 5.9 cm. x 7.0 cm.  The endometrial stripe is thickened, measuring 14 mm thick, findings may be associated with endometrial hyperplasia.  Carcinoma cannot be ruled out.  Follow up US recommended (6-8 weeks) to further evaluate this.  There is a hypoechoic structure measuring 2.0 cm. x 1.4 cm. x .9 cm. in the posterior proximal uterus.  Multiple nabothian cysts are present in the cervix, unremarkable.

The right ovary measures 3.0 cm x 2.5 cm x 2.7 cm.  The left ovary measures 2.9 cm x 1.6 cm x 2.4 cm.  Multiple follicles are seen within each ovary.  There is no adnexal mass/free fluid in cul-de-sac.

IMPRESSION:  1. Thickened abnormal endometrial stripe, worrisome for endometrial hyperplasia/carcinoma and a followup pelvic ultrasound is recommended.  2. A 2 cm. hypoechoic structure in the posterior roximal uterus likely represents fibroid.  3.  No adnexal mass/free fluid identified in pelvis.

I thought I was being checked for polycystic ovaries (both sisters have them).  What does "thickened, abnormal endometrial stripe mean?  I thought 14 mm was fairly normal depending on the time of month -- should I read something into the phrase "thickened, ABNORMAL stripe"?...

[chloe08]

Hi
I had an endometrial lining that was considered borderline "too thick" a couple of years ago but I had an endometrial biopsy done (office procedure) and everything was fine.   This is a simple procedure for your gyn to do in the office (it is painful though but relatively quick) so if it was me I'd ask for that to be done asap and still have the follow up u/s done later if need be.  

[msjazz]

I would be concerned about the "worrisome for carcinoma(cancer)" of the endometrium.. I would ask if they could do a biopsy to be sure its not am endometrial cancer. If it is, you would want to catch it early. Best wishes.