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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Is The Best Thing To Do For Thickened Endometrium ?

hello,I am 45 and just had my transvaginal ultrasound today and the result showed i have an intramural myoma with probable submucus component and endometrial stripe is heterogenous with a full thickness of 25mm. I ve been bleeding for almost 2 months now and was advised by my ob gyne to take contraceptive pills . please tell me what is the best thing i should do. thank you very much
Fri, 22 Jul 2011
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Orthopaedic Surgeon 's  Response
Welcome to Healthcare Magic
Your endometrium is highly thickened. It would be wise to have been advised a D&C instead of just pills. The contraceptive pills will regularise your hormones and you will experience heavy bleeding after stopping the pills. The myoma will need specific hormonal treatment or surgical removal depending on your symptoms and size of the fibroid. If you have completed your family it would be best to do a hysterectomy which will prevent any more myomas, bleeding and also possibility of endometrial cancer which is seen in women with fibroid due to high Oestrogen.
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Anonymous's  Response
Thank you very much for your reply dr. Raghu. I went to my ob gyne again this afternoon and still was advised to continue taking contraceptive pills until i consumed the 3 cycle pills and when my period starts again after i finished the pills she advised me to have the transvaginal ultrasound done again and if the endometrium is still thickened she then will perform D&C. should i follow her advise or seek for another doctor's advise, at the moment i don't have heavy bleeding anymore but only spotting.

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What Is The Best Thing To Do For Thickened Endometrium ?

Welcome to Healthcare Magic Your endometrium is highly thickened. It would be wise to have been advised a D&C instead of just pills. The contraceptive pills will regularise your hormones and you will experience heavy bleeding after stopping the pills. The myoma will need specific hormonal treatment or surgical removal depending on your symptoms and size of the fibroid. If you have completed your family it would be best to do a hysterectomy which will prevent any more myomas, bleeding and also possibility of endometrial cancer which is seen in women with fibroid due to high Oestrogen.