Get your Health question answered in 3 easy steps
A Doctor will be with you shortly
Ask a Doctor Now
166 Doctors are Online

What causes endometrial hyperplasia?

Mar 2013
User rating for this question
Very Good
Answered by
Practicing since : 1998
Answered : 5956 Questions
Last MP was October 16, 2013, 43 yo female I have had an U/S showing an endometrial thickness of 15mm with numerous cystic areas. Right ovary was enlarged to 6.4 x 3.5 x 4.6 cm with two “simple” cysts measuring 4.5 x 2.9 x 3.2 cm and 2.9 x 2.5 x 2.5 cm. I had urine screen done showing: an elevated MCH and Blood and and eGFR of 90 Blood testing showed: Bilirubin of 38 with all other liver functions within normal parameters and TSH of 4.28, everything else within or near normal. What do you think?
Posted Wed, 26 Feb 2014 in Vaginal and Uterus Health
Answered by Dr. Aarti Abraham 1 hour later
Brief Answer: EXPLAINED BELOW Detailed Answer: Hello Thanks for writing to us with your health concern. Regarding your ultrasound scan - it is indicative of endometrial hyperplasia. This means a thickening of the lining of the uterus - that is common in the perimenopausal age group due to hormonal imbalances inherent at this time. You would need to undergo an endometrial biopsy. This is because some types of endometrial hyperplasias are precursors for endometrial ( uterine ) cancer, however, do not worry, as most are not. The types which are, can be picked up only after biopsy, hence biopsy is a must. Treating endometrial hyperplasia is simple - it can be done with cyclical hormonal therapy ( cyclical progesterone or oral contraceptives for 3 months ). Regarding the ' simple ' cysts, these can be observed again for 2 - 3 months. For ' simple ' cysts, generally a wait and watch policy is advocated, unless there are intervening symptoms such as pain, discomfort, pressure on bowel or bladder, which would necessitate a surgery. For your blood reports, please upload them if possible, as I would need to see the units and the lab parameters. If possible, also upload the scan results. Also, the urine screen results would need to be uploaded for a specific comment ( this is because various labs have varying reference ranges ). All the best. Please do revert. Take care.
Above answer was peer-reviewed by
Follow-up: What causes endometrial hyperplasia? 13 minutes later
I have uploaded the reports as one document. Please give your feedback again.
Answered by Dr. Aarti Abraham 8 hours later
Brief Answer: EXPLAINED BELOW Detailed Answer: Hello Have gone through your reports. My opinion regarding the ultrasound remains the same. There is endometrial hyperplasia, which should be biopsied. The cysts can be observed for a couple of months, unless there is intolerable pain. The other lab parameters are fine, only am concerned about the raised total bilirubin. It is definitely high, and indicates jaundice. Do you have any symptoms of the same. Would suggest contacting your physician for the bilirubin levels. Take care.
Above answer was peer-reviewed by
Share on Facebook
Share on Twitter
Share on Google+
Question is related to
Diseases and Conditions
Medical Procedures
Medical Topics

The user accepted the expert's answer

Ask an OBGYN

© Ebix, Inc. All Rights Reserved.
All the information, content and live chat provided on the site is intended to be for informational purposes only, and not a substitute for professional or medical advice. You should always speak with your doctor before you follow anything that you read on this website. Any health question asked on this site will be visible to the people who browse this site. Hence, the user assumes the responsibility not to divulge any personally identifiable information in the question. Use of this site is subject to our Terms & Conditions
Already Rated.
Your rating:

Ask a Doctor