Hi,
I’ve been asked to have an urgent hysteroscopy with d&c under sedation following my tv ultrasound for heavy bleeding and anaemia. The consultant shared that this was because three concerns were raised by the sonographer: thick, irregular, ill-defined, vascular endometrium at the fundus. The consultant said he thought he was endometrial hyperplasia but wouldn’t he drawn on which type - but did say it was the combination of the four findings that was leading him to call for the urgent hysteroscopy. Just wondered if anyone else has had the same findings in their tv ultrasound and what it led to? The tv was very painful on one side!
Hi Poppy
I am sorry to hear that you have had some heavy bleeding that needed investigation.
Where anything unusual is seen on a TV ultrasound the hysteroscopy/biopsy is the normal next step and it is done on the urgent basis. This is because they always like to rule out the potentially most serious causes first.
It sounds like your womb lining was thicker than they would normally expect and that the lining is not as smooth as they would expect. There can be different causes for this. The important thing is for them to have a closer look with the hysteroscope (camera) and to take some cells for testing.
Without the biopsy no one can say for sure what is causing the changes to the endometrium and that is why the doctor can not really confirm a lot more at the moment. Even with hyperplasia there can be different types. I think the main thing is that you were right to get checked with the symptoms you have had and hopefully in the next 2/3 weeks you should have some answers and an idea of what treatment (if any) is needed.
Fingers crossed you can have the hysteroscopy soon. In the meantime if it would help to talk things through, then please do give the Support Line a call.
Good Luck
Jane
Hi so I had an urgent referral on the back of an adnexal cyst being found last year on an mri and had a TVS.
My report mentioned my uterus was retroverted and was heterogeneous throughout with cystic spaces and prominent vascularity and as a result I had an urgent Gynae referral who then decided to do a hysteroscopy and polypectomy if necessary and a biopsy.
I had the hysteroscopy under GA and was diagnosed with endometrial hyperplasia without atypia and was prescribed hormones to thin the endometrium and help with symptoms. I was offered a mirena coil but declined as never found it helpful in treating my endometriosis and had a bad experience with it.
Wishing you all the best
Whatever cancer throws your way, we’re right there with you.
We’re here to provide physical, financial and emotional support.
© Macmillan Cancer Support 2025 © Macmillan Cancer Support, registered charity in England and Wales (261017), Scotland (SC039907) and the Isle of Man (604). Also operating in Northern Ireland. A company limited by guarantee, registered in England and Wales company number 2400969. Isle of Man company number 4694F. Registered office: 3rd Floor, Bronze Building, The Forge, 105 Sumner Street, London, SE1 9HZ. VAT no: 668265007