18 mm thick endometrium

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Hello everyone,  I am 75 years old and will be having a hysterscopy and D and  C.  The ultrasound showed my endometrium to be 18mm thick and heterogeneous with arterial vascularity. I have no bleeding or discharge. Symptom brought me to the gynecologist was pressure in the rectum diagnosed as hemorrhoids and undergoing treatment for that. The gynecologist tried to do a biopsy but it was too painful to tolerate especially with aged related atrophy and Lichen Sclerosis. Using estradiol creme many years but only small amount in the entrance of the vaginia for the LS and not inserted. Now I am scheduled for a hysterscopy and D and C. I am petrified of the procedure at my age as well as the results. 1. Has anyone my age had this procedure and what was your experience and recovery?  2. Has anyone had this thick an endometrium with no bleeding? Thank you, so scared. 

  • Hi Joi

    Welcome to the Womb group. I am sorry to hear that you have had a concerning ultrasound. There are different reasons for a thickened endometrium and the normal next step is to have a closer look. 

    I can understand that you are feeling nervous with having the procedure but it is very necessary to find out what is going on. They need to rule out the potentially most serious reasons first. 

    My biopsy and testing was done in outpatients but it is not uncommon for ladies to be scheduled for it to be done under general anaesthetic. 

    I recovered within a day I would say from mine. I did feel a bit light headed and had some bleeding for the first day. Other than that a little cramping- a bit like a period cramp. 

    I had bleeding but do not know the thickness of my endometrium at the time. Something was seen on my ultrasound that meant a biopsy was needed. 

    Perhaps consider giving the support line a call and talking it through with someone. Testing can be scary and you are not alone. Looking back the testing and waiting for the results was probably the time I was most anxious- once I knew what I was dealing with and had a plan- it did feel a bit better.

    I hope your procedure goes ok, in the meantime, we are here if you need us. 

    Jane

           

    Macmillan Support Line - 0808 808 00 00, 7 days a week between 8am-8pm

  • Jane2511, Thank you so much for your reply. What you said in the makes sense. They have to find out what is going on by ruling out the most serious of possible diagnosis. Your sharing of your experience and timeline is helpful. Did you have a hysterscopy and D and C or an endometrial biopsy as a work up? I am concerned about my age. Have you come across other ladies in there 70’s experiencing endometrial issues, testing and treatment? Thanks so much for helping new people to the group and sharing with me. 

  • They couldn't use a hysteroscope because I was bleeding heavily and they would not have been able to see anything. The biopsy is similar but a bit different to the d and c. The biopsy was using straw like suction to remove samples whereas my understanding is the d &c is more a scraping- however its basically them taking some cells to look under microscope. 

    There are older ladies on here who have had similar issues. However it tends to be the ladies who end up having a diagnosis who remain on the site. 

           

    Macmillan Support Line - 0808 808 00 00, 7 days a week between 8am-8pm

  • Thank you so much Jane. As you can tell in my senior years I feel more vulnerable so I’ve become quite nervous about things. I have a question about aftercare and don’t know whether to start a new thread. Please let me know if that would be best. Here is the question: I have lichen sclorosis (immune skin disorder effecting vulva, vaginal vestibule and entrance to the vaginia so urination irritates the tissues (membrane skin where I am effected coming out) ) and hemorrhoids too so I rinse out good with a shower wand daily when showering and in between on the toilet leaning so the water gets in there to flush out, After care says no baths etc to avoid infection so not sure what to do. Any info or experience anyone has would be appreciated. 

  • Hi Joi

    It maybe an idea to put it on a new thread so it is seen more easily

    I would however think that it would be best to ask your doctor as they would have all your medical details. Avoiding infection is important. 

    You could also post in the Ask an Expert section on here

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    Jane

           

    Macmillan Support Line - 0808 808 00 00, 7 days a week between 8am-8pm