Brief Answer:
You have a thickened uterine lining and will need biopsy

Detailed Answer:
Hello, and I hope I can help you today.

The endometrium is the lining tissue of the uterus that grows and is shed monthly during menstruation. After menopause, the endometrium is supposed to be very thin- less than 4mm is considered normal. Your ultrasound measures your endometrium as 6.5 mm and with a heterogeneous (meaning varying densities) appearance, which is not a normal appearance.

Given that you have had symptoms of vaginal bleeding, you should see a GYN for evaluation. Normally, the evaluation for post menopausal bleeding involves a sampling of the tissue inside the uterus called an endometrial biopsy to see what the nature of the bleeding tissue is an dictate a treatment plan.

Regarding the hydrosalpinx, that just refers to seeing fluid in one of your Fallopian tubes, which means that tube has some scarring, possibly from your previous abdominal infection.

I hope I was able to adequately answer your question today and that my advice was helpful. If you need anything further, please do not hesitate to contact me.

Best wishes,

Dr. Brown

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Brief Answer:
Uterine cancer can present this way which is the worst scenario

Detailed Answer:
Hello again-

The most concerning reason for abnormal growth of the uterine lining after menopause is uterine cancer. The main reason a biopsy is recommended for evaluation of bleeding after menopause is to make sure that cancer is ruled out as a diagnosis.

Howver, there are other benign conditions that cause endometrial thickening like uterine polyps that are not dangerous.

So even though cancer is a rare possibility, many benign conditions can also exist. At this point, I do not think you need to be alarmed about this result, but I do recommend seeing a GYN doctor to evaluate you fully.

I hope this additional information is helpful.

Regards,

Dr. Brown

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