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Normal measurement

Two part question what is measurements of normal uterus? And thickness of endometrium?
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I had always heard that it was about the size of a fist. So I did a web search and it's 8 to 10 centimeters long by 6 centimeters wide which would be about the size of a fist. I'm not sure how big it can get during pregnancy. Fibroid, which are common benign growths, can cause it to grow also.

The endometrium typically gets up to 16mm thick. However, if a woman doesn't have regular monthly periods, it can get thicker. And in the years leading up to menopause, it can get thicker too.

Are you concerned for some reason that you would like to share?
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I have been in quite a battle with my gyno. My uterus went from 8.8cm x 3.7 x 5.2 about 6 months ago and is now 9.6 x 5.7 x 4.7 my endometrial was 1.1 cm now 1.7 and I now have a hypoechoic focus in my uterine myometrium at the fundus mesuring 8 x 9 x 13 mm and a 9 mm long sliver of fluid in the endometrial or endometrium cavity at the fundus.
Are you still having periods or are you post-menopausal?Nothing you mentioned sounds concerning if you are not post-menopausal.

If you're post-menopausal then the 1.7 cm endometrial lining could be cause for concern. But an endometrial biopsy would be the next step if you are post-menopausal (no period for at least a year).

Your uterus is normal size and the uterus can grow if one has fibroids which are common but typically don't need any treatment. And they don't start shrinking until after menopause. From everything I've read, a hypoechoic myometrium is normal and so is fluid / edema in the uterus.

What is your gynecologist telling you / what is the battle about?
Yes still having periods problem is have only not been bleeding for 5 days out of the last 5 months otherwise have had some sort of bleeding. Also I have this discharge that is like a thick mucus, but not a yeast infection. So the battle is that there is something happening and he seems to think it’s nothing.
Have you tried contraceptives to regulate your cycle? There's also a non-hormonal medication called tranexamic acid (brand name Lysteda) that can be used for heavy bleeding.
Yes we have tried actually 4 different types of hormone therapy.
Have you considered an IUD? I wouldn't tend to go that route since it's more of a "commitment" and possibly expense but may be worth considering.  The hypoechoic finding in your uterus sounds like a fibroid (submucosal?). If it is and is the cause of all the bleeding, a myomectomy to remove it may be worth considering. One of the problems is that it seems many gynecologists do hysterectomies and don't have the skills or desire to do myomectomies due to lack of training and lower profitability (since myomectomies are more delicate surgeries).

A couple other considerations - Have you been checked for thyroid disease or a bleeding / clotting disorder?
I have enlarged thyroid however my thyroid levels are always normal
Sorry for lack of reply.. he called did a DNC a mass amount of fibroids and some other concerning thing he said in there so he took a lot of things for pathology. He said a partial hysterectomy is a must and possible that ovary or ovaries will have to as well that will depend on scaring or cyst etc on them. However get path results are first step that will be next week. Now I’m just trying to heal :(
Let me know what you find out re: pathology results. I hope all comes back benign (or worst case endometrial hyperplasia that can be treated / cured with medication).

Sadly, hysterectomy as well as removal of ovaries (oophorectomy) are grossly overused surgeries. Only about 10% of them are necessary. There are many permanent adverse effects of hysterectomy and even more if ovaries are removed. The uterus, ovaries and tubes work together and have LIVELONG functions. Removal of any one part has been proven by many medical studies to cause more harm than good when done for benign / non-cancerous conditions.  
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