Awaiting Histoscopy 49 year old

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Hi there, 

New to the group. I’m 49 years old, I had the contraceptive implant in for many years so I wasn’t having periods, then last summer (2023) I had menopausal symptoms and started HRT, and in June of this year (2024) had the implant removed.  No periods, so assumed I was post menopausal. In November bleeding recommenced, three weeks apart, both times felt like a period, 7 days first time & 5 days second time, cramps bloat etc

i visited the GP not because I was concerned about the bleeding, I thought it was periods, I visited because now my periods had resumed I wanted to check my HRT dose was ok. 

GP referred me to the two week gynea cancer pathway. I had an TV ultrasound, when I asked her if there was anything unusual she said can’t say, the consultant will look at the findings and history and compile a report. So I wasn’t even told like many of you on here, the mm thickness of the lining. I then received a call to come for a hysteroscopy and biopsy, in 4 days time. The only thing the lady doing the ultrasound said was ‘are you bleeding right now’, and I wasn’t, I had a bleed 1 week prior. 

So whilst im waiting, and yes it really isn’t that long await, I wondered if anyone knew what she may have seen on the ultrasound which might have questioned if I was bleeding at the time of the ultrasound. Also interested on anyone in similar situation where it’s not clear if you are post menopausal. 

Peace to all Slight smile

  • Hello Foxtrot Kilo

    Welcome to the Womb group.

    I am sorry to hear that you have had some bleeding and are waiting for further testing.

    With these symptoms it is routine to have the ultrasound and if something is seen or not clear then a hysteroscopy is the normal next step. It does not mean that anything necessarily has been seen, just that it is wise to take a closer look and some biopsies.

    It is normal to have these done on the urgent pathway and this is used to try to rule out the most serious potential causes first. 

    With my ultrasound, thickness etc was not discussed. I had a phone call from a nurse the morning after my ultrasound and was told that something was seen on the scan but that they were not sure what it was. 

    I was asked to come in for biopsies to be taken. A biopsy is the only way of ruling in or ruling out cancer.

    I would not worry too much about the question about bleeding- it did come up with me but only because it can be a bit more difficult to get a clear image of the endometrium if you are bleeding. This was the case for me so they just took the biopsies. 

    It would be hard to know what was seen on the ultrasound but it may just be that it could not rule out anything for sure - such as a thickened lining or polyp present, so they are suggesting to have a closer look is the best plan. There are other potential reasons for the bleeding but it is important to rule out cancer. 

    It can feel hard to wait and I remember feeling a bit in limbo. Hopefully you should have a clear answer very soon as to what is causing your symptoms. In the meantime we are here if you need us.

    If talking things through would help, then please do give the Support Line a call.

    Jane

           

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

  • Helllo my situation is a bit different than yours but I am not sure whether I have gone through the menopause.Im 49 and was on tamoxifen for breast cancer for 14 years and had irregular periods which I thought was normal and in July and October had spotting for a number of days which I assumed was a period.I had hysteroscopy two weeks ago and an awaiting results.I had ultra sound and transvaginal scan two weeks prior to this which showed thickened endometrium which is why I had hysteroscopy.J am not under a consultant so was very anxious about what radiologist had seen in ultrasound.I contacted my gp and insisted on having a copy of the ultrasound results which they then provided which told me how thick my endometrium was and how everything looked.I think that if you haven’t gone through menopause your endometrium is thicker especially at certain times in your cycle but it is supposed to be thinner if you have gone through menopause.

  • Update: Hysteroscopy Completed

    I took 2 x paracetamols 1 hour before, and had access to gas and air in the room which I used. 4 staff in total who were all really caring, also had a heat pad applied to abdomen to reduce cramping pain. 

    I was advised that I would be considered post menopausal as FHS in July’23 was 51, so elevated and in keeping with menopause, I have been on continuous HRT with no bleeding during the first year, & that I have a sibling who also went through menopause aged 48. 

    Ultrasound showed thickening of 8.2mm, hence referral for hysteroscopy, he showed me the scan and where the thickening appeared which he suspected is a polyp and can be removed.

    During hysteroscopy I watched the video, there was a polyp outside the womb, near cervix which was removed, there was no polyp in the womb, two sections of the womb with thickening were shaved off for biopsy. He said nothing looked really suspicious and results take 4-6weeks. If he hears anything sooner he will contact me. 

  • Hi CAD788 have you had your results through?

  • The womb biopsy was clear and they found polyps which are being removed Christmas Eve .So just need to wait for them to check them .