Thanks for writing to us.
The prominent and thickened endometrium
could be due to Chronic recurrent Pelvic Inflammatory Disease
in the past .This would have lead to Adenomyosis
of the Uterus
which may turn into Adenocarcinoma eventually.
Prevention is better than cure.
In your case in addition to the Papsmear the diagnostic gold standard would be "Biopsy" of endometrial currettage.The HPE
report (Histopathology) would indicate whether there is Endometrial malignancy which is the commonest cause for the same.
Please consult a gynaecologist and go ahead with D and C procedure to establish a diagnosis.
Wish you a speedy recovery.,
Dr Lt Cdr ASN Bhushan.