Hello - waiting for appointment

Hi there G, almost identical situation even down the appointment on the 20th May!

To compare further: I'm 54, been on Evorel Conti hrt for about 2 years. Had my last period Feb/March 2024 and then same as you; on and off bleeding and spotting at about 11 months. Didn't think anything of it but when I asked GP about resetting my menopause clock,  was immediately booked for scan and referred to gynaecology. 

5mm lining on transvaginal scan. Was told that's normal by sonographer and then hauled in to GP who told me it isn't. 

My mother had polyps removed in her 40s and womb cancer 11 years into menopause early 60s.

Good luck. 

I’m on the Everol Conti patches too, only since July though, but my last period was 2020.  When I had the ultrasound the sonographer said he was looking for 4mm or less, had to do the transvaginal as not clear enough on the regular.

hope everything goes well for you too 

Apparently continuous combined hrt does not cause thickness in endometrium like sequential hrt.does/can. If it does people are usually switched over to the CChrt(Evorel Conti). However,  if the unusual bleeding happens in perimenopause then a thicker endometrium is considered normal.  As my bleeding was technically not menopausal I'm not sure why I've been referred.  I've had some really good replies abd advice on this forum and if I understand it correctly,  bleeding after being on Evorel Conti for at least 6 months (without bleeding) is considered unusual and then requires investigation.  I'm struggling to get my head around it. Deep down I don't think there's anything wrong. 

I also called the helpline the other day and the advisor was really helpful.  I had been considering cancelling the appointment but it will be an opportunity to discuss in more depth and maybe not need to have the hysteroscopy. 

Hi, you may not need the hysteroscopy urgently but wouldn't it be better to be sure everythinng is OK? Some women opt just to have the pipielle biopsy instead of full hysteroscopy as a kind of compromise. It can be done with local anaesthetic and/or gas & air, which helps a lot. Hope things work out for you soon.

Hi, I understand that whilst 7mm is not that bad, they generally prefer the lining to be under 5mm after the menopause. I wouldn't have thought that 7mm is terrible though! Many women have higher lining and don't have cancer, although the lining is only one aspect of the overall picture.

As for the test coming up, I would call them to ascertain whether it's just a biopsy or a hysteroscopy and prepare for it. It can be painful for some women, although many hospitals now provide pain relief in the form of local anaesthetic and/or gas & air. Some women even have it under GA but it's a personal choice. I would find out the details of the test in advance in order to prepare, either way. Good wishes!

I didn’t think it sounded bad either, to be honest I didn’t even suspect cancer at all, when I had my first appointment with the nurse for an internal examination it was never even mentioned & I was just told my HRT probably needed adjustment so I’m quite surprised at now finding myself on this route 

I know how you feel, I was just told that my HRT might need some adjustment by the nurse who referred me for the ultrasound & never even gave cancer a thought until the dr rang to say he was referring me to gynaecologist for further investigation.  My letter doesn’t mention hysteroscopy just says that on my visit I’ll have an ultrasound then if needed biopsy, unless by ultrasound they mean the hysteroscopg but it describes it as the trans vaginal ultrasound which I had before.

perhaps I’m being under worried if that’s a thing

I do understand but think perhaps you need to just get it over with. If there is nothing wrong, it's done and dusted! I am crossing my fingers for you and hope you find peace with whatever your decision is. Sending hugs.

I think your perhaps misunderstanding me, I’m not making a decision on whether to go through with it, perfectly prepared to have whatever tests needed  I’m just saying that my appointment letter only mentions the ultrasound and biopsy, I was just wondering if it was a standard thing for the hysteroscopy.  

Likewise. It makes me feel that my appointments could be offered to someone who actually needs them.  I also thought that my hrt might be adjusted or at least monitored to see if it happened again. I've got several other health issues which already interfere with my day to day life with appointments meaning time off work etc. I struggle to remember to take medication,  order repeat prescriptions and book regular blood tests etc.  My brain is in overload and now this.  I really wish I hadn't mentioned it to the GP.