Brief Answer: Tendency to form myomas, chronic inflammation Detailed Answer: Hi, Thanks for the query. According to your ultrasound findings : -Uterus is of normal size. Heterogeneous echotexture may indicate tendency to form myomas. Presence of small fibroid may be due to this. - Nabothian cyst in the cervix indicates chronic pelvic inflammation. -Endometrium is not homogeneous. May be because of hyperplasia. - Right ovarian cyst can be a simple cyst. - Usually artefactual thickness is not seen it postmenopausal women. But if you are taking hormone replacement therapy, that may cause increased endometrial thickness. Better to go for endometrial biopsy with your doctor's advice. If biopsy report comes as normal and if the cause of hyperplasia is found to be hormonal only, you may take progesterone tablets with your doctor's advice to treat it. Hope I have answered your query. I will be available to answer followup queries. If you are satisfied with the answer, please give your review at the end of the discussion. Take care.

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Brief Answer: Histopathological examination of the tissue Detailed Answer: Hi, Usually mirena can be kept in place for around 5 years. But as you are having spotting, increased endometrial thickness while being on mirena also, better to get evaluated once. After undergoing D&C, the tissue has to be sent for histopathological examination. If there is any abnormal changes better to go for hysterectomy. If the tissue changes indicates only hormonal imbalance, you can try with progesterone tablets for few months. Progesterone pills by decreasing the estrogen predominance can lead to regression of myomas and endometrium. Intrauterine device can cause side effects like pain abdomen, backache etc. By using tablets these symptoms can be decreased to some extent. If the tablets do not work and endometrial growth continues better to go for hysterectomy. Take care.

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