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What Does This Ultrasound Report Indicate?
Question: I had a bilateral oophorectomy due to ovarian cysts, plus d and c last December. Since then I have had ongoing bleeding like the start of a period. An ultrasound last week shows thickening of 2.5 cm of the endometrium. I have appointment with consultant in 2 weeks .What may I expect to hear ?
Brief Answer:
Hormonal imbalance is the most likely cause.
Detailed Answer:
Hello,
Thanks for posting your query.
I would like to know if you attained menopause and if so, at what age. This bleeding is most likely to be due to the hormone imbalance that must have developed subsequent to the oopherectomy. Breakthrough bleeding is possible when the endometrium is no longer adequately supplied with blood vessels owing to the thickness.
The thickness of the endometrium suggests unopposed estrogen action. An endometrial biopsy is needed at this stage to know the cause. Hormone profile also needs to be done. This is what I think your gynecologist would suggest.
Further management depends on the results. If the biopsy report does not reveal any abnormal pathology, you may receive hormone supplements along with styptics to control the bleeding. Nutritional supplementation, maintenance of an adequate weight are also necessary.
Hope your query has been answered. Please feel free to contact for further clarifications. I will be happy to help.
regards,
Shanti.V.
Hormonal imbalance is the most likely cause.
Detailed Answer:
Hello,
Thanks for posting your query.
I would like to know if you attained menopause and if so, at what age. This bleeding is most likely to be due to the hormone imbalance that must have developed subsequent to the oopherectomy. Breakthrough bleeding is possible when the endometrium is no longer adequately supplied with blood vessels owing to the thickness.
The thickness of the endometrium suggests unopposed estrogen action. An endometrial biopsy is needed at this stage to know the cause. Hormone profile also needs to be done. This is what I think your gynecologist would suggest.
Further management depends on the results. If the biopsy report does not reveal any abnormal pathology, you may receive hormone supplements along with styptics to control the bleeding. Nutritional supplementation, maintenance of an adequate weight are also necessary.
Hope your query has been answered. Please feel free to contact for further clarifications. I will be happy to help.
regards,
Shanti.V.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Up to the time of the oophorectomy my age was 56 and 1 month, I had not reached menopause, was still having regular periods, no hot flashes
Brief Answer:
This bleeding is most likely the consequence of surgery.
Detailed Answer:
Hi,
Thanks for the information.
As I mentioned earlier, this bleeding is most likely a consequence of the surgery. In our country, when the ovaries need to be removed at this age, it is preferred both by the patient as well as the doctor to remove the uterus also in order to avoid such bleeding tendencies and abnormal pathological changes.
The loss of hormones estrogen and progesterone create menopause (surgical menopause). If no hormone therapy is given to tide over this postoperative phase, withdrawal bleeding ensues. Some estrogen is available from extra-ovarian sources and this causes unopposed endometrial thickening. This can lead to enhancement of this bleeding tendency.
Please have a check up with your consultant as planned and follow the advice for further management. Styptics and hormones are needed to control the bleeding.
Hope this helps.
regards,
Shanti.V.
This bleeding is most likely the consequence of surgery.
Detailed Answer:
Hi,
Thanks for the information.
As I mentioned earlier, this bleeding is most likely a consequence of the surgery. In our country, when the ovaries need to be removed at this age, it is preferred both by the patient as well as the doctor to remove the uterus also in order to avoid such bleeding tendencies and abnormal pathological changes.
The loss of hormones estrogen and progesterone create menopause (surgical menopause). If no hormone therapy is given to tide over this postoperative phase, withdrawal bleeding ensues. Some estrogen is available from extra-ovarian sources and this causes unopposed endometrial thickening. This can lead to enhancement of this bleeding tendency.
Please have a check up with your consultant as planned and follow the advice for further management. Styptics and hormones are needed to control the bleeding.
Hope this helps.
regards,
Shanti.V.
Note: Revert back with your gynae reports to get a clear medical analysis by our expert Gynecologic Oncologist. Click here.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
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