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What does an inactive endometrium mean?

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Posted on Tue, 8 Jul 2014
Question: Hello,

We are married for 5 years and trying for baby. We have undergone 5 to 6 clomid cycles and 1 IUI cycle in XXXXXXX We went to a doctor here and he said before starting other treatment he wanted to get hysteroscopy done as he see irregular lining in endomtrium. Now he says that her pathalogy report says endometrium is inactive, so he want to get Endometrial funtion test done from XXXXXXX university. When i checked on internet most of the people who underwent this test had undergone 2 or three IVF cycles.

My question is do we need to go for this EFT test and also what is inactive endometrium mean ?

I have also added her D&C report which was done by another doctor. Using only this report can a doctor decide something on infertility of her embryo ?
doctor
Answered by Dr. Rakhi Tayal (2 hours later)
Brief Answer:
Yes. EFT is needed.

Detailed Answer:
Hello,
Thanks for trusting us with your health concern.
The thinning of the inner lining of the uterus, due to lack of hormones, is called inactive endometrium. This is usually seen in post menopausal females. A thick growing endoetrium is necessary for the embryo to become implanted in the uterine cavity.
The D&C report that has been attached clearly indicates an inactive endoetriu as a possible cause of infertility. This has been detected after histopathological examination. It is best to undergo further tests- EFT as advised by your specialist.
Please feel free to discuss further. I will be glad to answer the follow up queries that you have.
Wishing you good health.
Regards.
Dr. Rakhi Tayal.
For future query, you can directly approach me through my profile URL http://bit.ly/Dr-Rakhi-Tayal

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Rakhi Tayal (4 hours later)
Hello XXXXXXX Madam,

Thanks for your kind answer. Before she underwent D&C she was on clomid cycles where she was taking projesteron and other harmones. Is this inactive endometrium cause of those harmones ? i read in this URL (https://www.inkling.com/read/diagnostic-gynecologic-obstetric-pathology-crum-2nd/chapter-16/endometrial-pathology ) that inactive endometrium will be seen in patients who use harmones. EFT costs us more than 2.5lk so we need to be absolutely sure before really go for it. When i see in internet most people who underwent this test were people who had IVF failures. so i was thinking it is too early for us to go for this test.

How bad is inactive endometrium ? can that be treated ? do we have chance of getting baby ?
Just to add.. during her scans in clomid cycles her endometrium thinkness was good.
doctor
Answered by Dr. Rakhi Tayal (2 hours later)
Brief Answer:
Details below.

Detailed Answer:
Hello.
Thanks for writing again.
Taking Clomid and progesterone therapy will help in better growth of endoetrium. I have read the article you have mentioned. It is better to do the test earlier as an early diagnosis will help in better treatment. may be you will not need IVF after the test and the endometrial growth can be regulated with the help of proper hormones. This can help in natural conception. money spent on this test is well spent as the inactive endoetrium is indicated on a histopathology examination.
It is the type of glands that grow which matter rather than the thickness.
Hope my answer is helpful.
Do accept my answer in case there are no further queries.
Regards.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Rakhi Tayal (10 hours later)
Hello Madam,

Is EFT test available in XXXXXXX and what is the cost for it? Are there any safety measures to be taken care of after/before the biopsy is performed.
doctor
Answered by Dr. Rakhi Tayal (7 hours later)
Brief Answer:
Not available in XXXXXXX

Detailed Answer:
Hello.
The test is not available in XXXXXXX It is done by XXXXXXX University only. They have a copyright for the test.
No special safety measures are needed. It is just like the biopsy that your wife had earlier.
You can read in greater detail at-
http://familybuilding.resolve.org/site/PageServer?pagename=lrn_wii_implant&JServSessionId_form=login&printer_friendly=1
Regards.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Dr. Rakhi Tayal

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Practicing since :2001

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What does an inactive endometrium mean?

Brief Answer: Yes. EFT is needed. Detailed Answer: Hello, Thanks for trusting us with your health concern. The thinning of the inner lining of the uterus, due to lack of hormones, is called inactive endometrium. This is usually seen in post menopausal females. A thick growing endoetrium is necessary for the embryo to become implanted in the uterine cavity. The D&C report that has been attached clearly indicates an inactive endoetriu as a possible cause of infertility. This has been detected after histopathological examination. It is best to undergo further tests- EFT as advised by your specialist. Please feel free to discuss further. I will be glad to answer the follow up queries that you have. Wishing you good health. Regards. Dr. Rakhi Tayal. For future query, you can directly approach me through my profile URL http://bit.ly/Dr-Rakhi-Tayal