Hi all.
I am new here and have never posted before. I have been having irregular bleeding and pelvic pressure for around 6 months. I had Pelvic and TVS which showed a possible polyp (15mm) and endometrial thickness with vascularity (13mm). I was then put on the urgent pathway and had a Hysteroscopy on 16th June. She confirmed sight of what she rereferred to as a fibroid and increased blood flow in the lining. I have had a letter to confirm what was done that day. However my confusion is that the letter stated the hysteroscopy showed 'Atrophic lining with Hyperaemia'
Surely this is contradictory of the scan? Initially thickened and now thin? There was 12 days between initial scan and hysteroscopy. I know lining changes but to that extent? Should I be concerned about the Hyperaemia? My mind is going 1000 miles an hour. I just want the biopsy results back. I have had cervical CIN stage 3 before and worried I may have Endometrial Hyperplasia now.
Hi Lynsey
Welcome to the group. I am sorry to hear that you have been undergoing checks and are concerned.
A transvaginal ultrasound put simply is only measuring the thickness of some tissue and can not provide a diagnosis of hyperplasia. Because your ultrasound showed a polyp/possible fibroid and there is also areas of vascularity along with measurement of 13mm this would lead to the camera test that you had.
The hysteroscopy is a bit different because rather than look at the scan pictures to get an idea of thickness and anything there that shouldn't be- it is the doctor inspecting the inside. So visually the doctor is describing what she saw- she saw some atrophic changes to the endometrium (normal in post menopausal ladies) and also saw something that she believes may be a fibroid. So she would have only been able to see the top of the lining.
The only thing that will confirm or rule out cancer is the biopsy results. So there would likely have been samples taken from the possible polyp/possible fibroid plus samples from the endometrium.
So whereas it seems a bit contradictory at the moment- and I understand why- it is the biopsy results that are important.
IF there is hyperplasia present then there are different types, some less concerning than others. Some may need treatment and some may not. The important thing is that they have referred you on the urgent pathway to rule out any potential serious cause (cancer) and to check whether you need any treatment.
Hyperaemia is where there is increased blood supply- this can be seen for different reasons- again some more serious than others.
So both tests are necessary and are looking at different things. The ultrasound picks up if something is not quite right, the hysteroscopy is a visual look but again only plays a part. So the ultrasound is a measurement and the hysteroscopy is a visual description. It is the biopsy that looks at the cells directly.
I know it is hard to wait for results so do give the Support line a call if it would help to talk things through.
Good Luck
Jane
