Get your health question answered instantly from our pool of 18000+ doctors from over 80 specialties
144 Doctors Online

By proceeding, I accept the Terms and Conditions

Dr. Andrew Rynne
Dr. Andrew Rynne

Family Physician

Exp 50 years

HCM Blog Instant Access to Doctors
HCM BlogQuestions Answered
HCM Blog Satisfaction

What do my lab test results indicate?

Answered by
Dr. Sameer Kumar

OB and GYN Specialist

Practicing since :2002

Answered : 1656 Questions

Posted on Tue, 13 Sep 2016 in General Health
Question: I am a 61 year old post menopausal woman who was diagnosed with a thickened endometrium of 7mm. Fluid was also seen on the ultrasound. A biopsy showed scant fragments of benign inactive endometrium. No atypia or malignancy found. I was put on progesterone for 10 days. What would the follow-up protocol be?
Answered by Dr. Sameer Kumar 1 hour later
Brief Answer:
cyclical progesterones for 3 months.

Detailed Answer:
Thanks for the query to HCM,
Its good that there is no atypia or malignancy seen , just endometrial hyperplasia. So you have been rightly placed on progesterones for 10 days to allow endometrial shed after 10 days of treatment. You shall experience some bleeding as withdrawal bleed after finishing the course. Then in the next cycle, again from day 15-25 you would be placed on progesterones for at least next 3 cycles.
Post that a repeat USG shall be done to check the endometrial thickness again which should be less than 3 mm on day 8 of the fresh cycle, after 3 days post bleeding would stop.
If the endometrial hyperplasia continues then the next best step shall be hysterectomy with bilateral salpingo-oophorectomy, considering your age.

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

The User accepted the expert's answer

Share on
Question is related to
Diseases and Conditions ,   ,  
Medical Procedures
Medical Topics

Recent questions on  Thickened endometrium

doctor1 MD

Hi doctor, I have PCOD and prominent symptoms of it like facial hairs, lethargy , thinning of hair, irregular period with gaps of 2-3 months...

doctor1 MD

Dear Doctor, I am experiencing irregular periods since last one year,Out of which current period was after 3 months gap and it was heavy lasted for...

doctor1 MD

Hello Doctor, I have irregular periods . My ultrasound revealed that I have thickened endometrium (11.6 mm) and a small cyst (35 mm) in the left...

doctor1 MD

i am 47yrs. old an ultrasound showed an endometrial echos are thickened (20mm), homogenous with regular outline. minimal fluid seen in the uterine...

doctor1 MD

The ultrasonography report of my mum consists following problem- 1. mildly enlarged liver (15.8cm) 2. bulky uterus (10.2 x 6.5 x 8.7cm) with non...

doctor1 MD

Hi, I was diagonized with thickened endometrium problem during march mid. My endometrium size 13.5 mm. I had my last periods on Feb 11, 2012. After...

doctor1 MD

hi Dr, i had an ultra sound for ? query early pregnacy and report says The endometrium is thickened 16mm with heterogeneous echotexture. my lsat...