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What Causes Thickening Of Endometrial Lining Of Uterus?

Posted on Sat, 10 May 2014

Question: I was an emergency room day did ultrasound and they found 19 millimeter thickness in my uterus and I'm wondering if this is something to worry about I'm 41 years old.is just something that I should be concerned about

Answered by Dr. Bhagyashree.B (53 minutes later)

Brief Answer: consider endometrial biopsy Detailed Answer: Hi, Thanks for writing to healthcare magic. The uterus lining or endometrial lining varies in thickness depending on the menstrual cycle. Early in cycle i.e during the period it should be 3-5 mm ideally. Later it will gradually thicken under the influence of hormone to 8-10 mm around the midcycle. You mentioned ultrasound as an emergency. Was there vaginal bleeding? Recent pregnancy? Any drugs taken may also influence the thickness. It would be better to biopsy the endometrium and do a evaluation to check for any hyperplasia abnormalities . Sometimes a benign polyp may also be the reason for increased thickness. So please discuss with your doctor regarding the endometrium biopsy which can be done as an outpatient procedure . If the endometrium is normal then there should be nothing to worry. Please write back if you have any queries. Thanks Dr Bhagyashree

Above answer was peer-reviewed by : Dr. Raju A.T

Follow up: Dr. Bhagyashree.B (26 minutes later)

They did both ultrasouds external and vaginal.they also saw many squam cells in my urine.If cancer was present is it something that they would've seen.the dr. Didn't seem to concern , neither did my regular dr. Whom I saw for a follow up.she said they might start me on birth controlpills.she seem like if I dont need to see gynecolist that she can prescribe the pills.i am over worried. No bledding .taking xanax, alprozalam melatonin .

Answered by Dr. Bhagyashree.B (3 hours later)

Brief Answer: cancer unlikely at your age Detailed Answer: Dear member, Thanks for writing back. Please don't worry about cancer. Endometrium cancer is more often seen in postmenopause women . Besides you don't have any symptoms. The squamous cells in urine is not related to this condition. I don't think taking birthcontrol pills for this condition without evaluating is a good idea. Atleast you can consider repeating the ultrasound on second day of period. If still the endometrium is thick you can consider a biopsy after discussing with your gynecologist. endometrium biopsy is a easy outpatient procedure with minimum discomfort. You can discuss with your gynecologist regarding the same. Thanks. Dr Bhagyashree

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Above answer was peer-reviewed by : Dr. Prasad