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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Ultrasound Shows Prominent Thickened Endometrium. Bleeding During Pap Smear. Advised Biopsy. Reason?

Hi? Today I went in to get my test results from a ultrasound I had 2 weeks ago.It came back that I have prominent thickened endometrium .The nurse practioner gave me a pap and I started bleeding quite a bit that she said that was not normal and had to go in and put pressure to stop it.She didnt know why I was bleeding that much and said she has never had that happen before.Why would I bleed like that and what why did she say I have to have a biopsy done?It seems she didnt know very much when I asked her.Thank you .
Tue, 20 Nov 2012
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General & Family Physician,  's  Response
Dear Concerned.,
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.,
Best Regards,
Dr Lt Cdr ASN Bhushan.
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Ultrasound Shows Prominent Thickened Endometrium. Bleeding During Pap Smear. Advised Biopsy. Reason?

Dear Concerned., 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., Best Regards, Dr Lt Cdr ASN Bhushan.