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Dr. Andrew Rynne

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Having irregular periods. Scan showed slightly thickened endometrium and cyst in ovary. Worrisome

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Dr. Rakhi Tayal

OBGYN

Practicing since :2001

Answered : 13203 Questions

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Posted on Tue, 11 Dec 2012 in Pregnancy
Question: I am 44 years old. In June-July I had a period that lasted for about three weeks. I had blood work that was normal. Then in August and September I had no period, and then in October, I had another very long period, this time lasting three and a half weeks. I made an appointment with my OBGYN, who did not do a pap, as I was still menstruating. She ordered lots of blood work for hormone levels, and a pelvic and a transvaginal ultrasound to check for PCOS. I got the reports, but have not yet heard from my doctor. The results were as follows: "Transabdominal and transvaginal examinations were performed. The endometrium is homogeneous although it is thickened measuring 1.7 cm in bi-layer thickness. No focal fibroids are seen. Multiple small cervical nabothian cysts are present. There is a 2.8 cm cyst in the right ovary. Other normal-appearing follicles are seen in both ovaries. the ovaries do not have a polycystic ovarian appearance. There is no free fluid. IMPRESSION: Thickened endometrium. Cyst in the right ovary XXXXXXX

I am currently 12 days post menstruation. I am reasonably educated and understand this reading. My concern is that I did have a LEEP done in 1994, and I am nervous about the implications of a thickened endometrium given my history. The radiologist also mentioned a prominent uterus. Thank you for your time.
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Answered by Dr. Rakhi Tayal 57 minutes later
Hello,
Thanks for posting your query.
The slightly thickened endometrium is usually due to a hormonal imbalance and is responsible for the excessive bleeding that you are having. A prominent uterus is the most common cause of menorrhagia or heavy bleeding in perimenopausal females. It is usually due to hormonal imbalance or adenomyosis.
There is nothing to be worried as it can be easily taken care of with the medicines or minor outpatient procedures like endometrial ablation.
Hope this answers your query. I will be glad to answer the follow up queries that you have.
Please accept my answer in case you do not have further queries.
Wishing you good health.
Regards.
Dr. Rakhi Tayal.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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