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What Do These Reports Indicate?

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Posted on Mon, 13 May 2019
Question: what do these reports indicate?
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Follow up: Dr. Dr.Dorina Gurabardhi (0 minute later)
what do these reports indicate?
doctor
Answered by Dr. Dr.Dorina Gurabardhi (1 hour later)
Brief Answer:
The reports are explained below in detail.

Detailed Answer:
Hello and Welcome to ‘Ask A Doctor’ service.
I have reviewed your query and here is my advice.

I already reviewed the attached reports.

The first report indicates the level of FSH hormone which is in the luteal phase.

This means that the examination is done between ovulation and the start of your next period.

The second examination indicates a thickening of the endometrium, which is the lining of your uterus.

There are many medical conditions that cause the thickening of the endometrium.

It can be also a normal finding in the luteal phase.

I suggest to follow up with a gynecologist for regular follow ups.

Hope I have answered your query.
Let me know if I can assist you further.
Above answer was peer-reviewed by : Dr. Nagamani Ng
doctor
doctor
Answered by Dr. Dr.Dorina Gurabardhi (0 minute later)
Brief Answer:
The reports are explained below in detail.

Detailed Answer:
Hello and Welcome to ‘Ask A Doctor’ service.
I have reviewed your query and here is my advice.

I already reviewed the attached reports.

The first report indicates the level of FSH hormone which is in the luteal phase.

This means that the examination is done between ovulation and the start of your next period.

The second examination indicates a thickening of the endometrium, which is the lining of your uterus.

There are many medical conditions that cause the thickening of the endometrium.

It can be also a normal finding in the luteal phase.

I suggest to follow up with a gynecologist for regular follow ups.

Hope I have answered your query.
Let me know if I can assist you further.
Above answer was peer-reviewed by : Dr. Nagamani Ng
doctor
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Follow up: Dr. Dr.Dorina Gurabardhi (3 hours later)
Thank you. This is helpful. When it says endo lining thickened at 11, it could just indicate normal thickening for where I am in my cycle? There’s nothing in the report that indicates that a problem has already been diagnosed (other than unusual bleeding which is a wait and see)?

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Follow up: Dr. Dr.Dorina Gurabardhi (0 minute later)
Thank you. This is helpful. When it says endo lining thickened at 11, it could just indicate normal thickening for where I am in my cycle? There’s nothing in the report that indicates that a problem has already been diagnosed (other than unusual bleeding which is a wait and see)?

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Follow up: Dr. Dr.Dorina Gurabardhi (2 minutes later)
And can this lining be normal with FSH level?

Even though FSH is low, is it possible I still could be in perimenopause and irregular bleeding could be related to that? I mean I’m almost 50 and aware of changes in my hormones and periods over time.
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Follow up: Dr. Dr.Dorina Gurabardhi (0 minute later)
And can this lining be normal with FSH level?

Even though FSH is low, is it possible I still could be in perimenopause and irregular bleeding could be related to that? I mean I’m almost 50 and aware of changes in my hormones and periods over time.
doctor
Answered by Dr. Dr.Dorina Gurabardhi (6 hours later)
Brief Answer:
Follow up queries explained below.

Detailed Answer:
Hi again dear,

The endometrial thickening in the luteal phase is around 10,5-11.

So, the thickening and the FSH level is related to the luteal phase.

In the report, I don't see any problem that you should be worried about.

Based on your age and your symptoms, I would think that the changes are related to perimenopause.

Perimenopause, or menopause transition, begins several years before menopause.

The changes are physiological and related to the hormonal changes.

If you have further queries, please feel free to consult me again.

Take care,

Dr. Dorina Gurabardhi


Above answer was peer-reviewed by : Dr. Arnab Banerjee
doctor
doctor
Answered by Dr. Dr.Dorina Gurabardhi (0 minute later)
Brief Answer:
Follow up queries explained below.

Detailed Answer:
Hi again dear,

The endometrial thickening in the luteal phase is around 10,5-11.

So, the thickening and the FSH level is related to the luteal phase.

In the report, I don't see any problem that you should be worried about.

Based on your age and your symptoms, I would think that the changes are related to perimenopause.

Perimenopause, or menopause transition, begins several years before menopause.

The changes are physiological and related to the hormonal changes.

If you have further queries, please feel free to consult me again.

Take care,

Dr. Dorina Gurabardhi


Above answer was peer-reviewed by : Dr. Arnab Banerjee
doctor
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Follow up: Dr. Dr.Dorina Gurabardhi (3 minutes later)
Thank you, so very much!!!!!
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Follow up: Dr. Dr.Dorina Gurabardhi (0 minute later)
Thank you, so very much!!!!!
doctor
Answered by Dr. Dr.Dorina Gurabardhi (2 minutes later)
Brief Answer:
Most welcome dear

Detailed Answer:
Most welcome for any other queries in the future.

Wishing you good health.

Take care,

Dr.DOrina Gurabardhi
Above answer was peer-reviewed by : Dr. Arnab Banerjee
doctor
doctor
Answered by Dr. Dr.Dorina Gurabardhi (0 minute later)
Brief Answer:
Most welcome dear

Detailed Answer:
Most welcome for any other queries in the future.

Wishing you good health.

Take care,

Dr.DOrina Gurabardhi
Above answer was peer-reviewed by : Dr. Arnab Banerjee
doctor
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Follow up: Dr. Dr.Dorina Gurabardhi (9 minutes later)
One more question just for peace of mind. Even though I was bleeding at time of ultrasound (but it was very light) and I didn't start was more like a normal flow until the 16th (which is obviously early), it can still be alright at 11? I'm wondering if you have extra bleeding but can still be in the luteal phase at the same time?
This is the first time in learning about all of this, and my GP made it sound like a big deal about the lining, but I hope it's because he isn't an obgyn and just a general practitioner.

Thank you again!
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Follow up: Dr. Dr.Dorina Gurabardhi (0 minute later)
One more question just for peace of mind. Even though I was bleeding at time of ultrasound (but it was very light) and I didn't start was more like a normal flow until the 16th (which is obviously early), it can still be alright at 11? I'm wondering if you have extra bleeding but can still be in the luteal phase at the same time?
This is the first time in learning about all of this, and my GP made it sound like a big deal about the lining, but I hope it's because he isn't an obgyn and just a general practitioner.

Thank you again!
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Follow up: Dr. Dr.Dorina Gurabardhi (2 minutes later)
I should add the GP, only saw the report. The obgyn said it was normal for my cycle and 8-11 was the cutoff point of normal and I was at 11. She also said she wouldn't be concerned unless it was like 20. Since it was the first time I met her, then heard from a friend she's not a good doctor, it got me wondering about the reports plus my GP's reaction, and I started worrying.

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Follow up: Dr. Dr.Dorina Gurabardhi (0 minute later)
I should add the GP, only saw the report. The obgyn said it was normal for my cycle and 8-11 was the cutoff point of normal and I was at 11. She also said she wouldn't be concerned unless it was like 20. Since it was the first time I met her, then heard from a friend she's not a good doctor, it got me wondering about the reports plus my GP's reaction, and I started worrying.

doctor
Answered by Dr. Dr.Dorina Gurabardhi (17 minutes later)
Brief Answer:
Follow up query explained below.

Detailed Answer:
Hi dear,

The range of endometrial thickening form 8-11 given by your gynecologist is correct.

The endometrial thickening changes depending on the phase of the menstrual cycle from minimum to maximum thickening.

So, I would only suggest regular follow-ups at your gynecologist.

Wish you good health and take care of yourself.

Kind regards,

Dr. Dorina Gurabardhi


Above answer was peer-reviewed by : Dr. Arnab Banerjee
doctor
doctor
Answered by Dr. Dr.Dorina Gurabardhi (0 minute later)
Brief Answer:
Follow up query explained below.

Detailed Answer:
Hi dear,

The range of endometrial thickening form 8-11 given by your gynecologist is correct.

The endometrial thickening changes depending on the phase of the menstrual cycle from minimum to maximum thickening.

So, I would only suggest regular follow-ups at your gynecologist.

Wish you good health and take care of yourself.

Kind regards,

Dr. Dorina Gurabardhi


Above answer was peer-reviewed by : Dr. Arnab Banerjee
doctor
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Follow up: Dr. Dr.Dorina Gurabardhi (44 hours later)
My bleeding has ceased. Just slight spotting. I have pressure feeling in my vagina towards the front. I'm wondering if the use of tampons (in this case more tampons then I've ever used and many dry towards the end of the bleeding) could cause a type of irritation resulting in this sensation.

I had a vaginal ultrasound last week, as you know. Would a prolapse show up on a vaginal ultrasound if they weren't particularly looking for that? Is that something they would just notice?

Thanks again so much for your help,
XXXXXXX
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Follow up: Dr. Dr.Dorina Gurabardhi (0 minute later)
My bleeding has ceased. Just slight spotting. I have pressure feeling in my vagina towards the front. I'm wondering if the use of tampons (in this case more tampons then I've ever used and many dry towards the end of the bleeding) could cause a type of irritation resulting in this sensation.

I had a vaginal ultrasound last week, as you know. Would a prolapse show up on a vaginal ultrasound if they weren't particularly looking for that? Is that something they would just notice?

Thanks again so much for your help,
XXXXXXX
doctor
Answered by Dr. Dr.Dorina Gurabardhi (6 hours later)
Brief Answer:
Follow up query explained below in detail.

Detailed Answer:
Hi again dear,

Tampons can cause dryness in the vaginal area, resulting to the pressure feeling.

So, in my opinion the symptoms can be related to the use of tampons.

A prolapse usually is diagnosed only through physical examination.

So, of course it is noticed also through the vaginal ultrasound.

Hope this helps.

Take care dear,

Dr.Dorina Gurabardhi
Above answer was peer-reviewed by : Dr. Prasad
doctor
doctor
Answered by Dr. Dr.Dorina Gurabardhi (0 minute later)
Brief Answer:
Follow up query explained below in detail.

Detailed Answer:
Hi again dear,

Tampons can cause dryness in the vaginal area, resulting to the pressure feeling.

So, in my opinion the symptoms can be related to the use of tampons.

A prolapse usually is diagnosed only through physical examination.

So, of course it is noticed also through the vaginal ultrasound.

Hope this helps.

Take care dear,

Dr.Dorina Gurabardhi
Above answer was peer-reviewed by : Dr. Prasad
doctor
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Follow up: Dr. Dr.Dorina Gurabardhi (4 hours later)
Thank you for your patience with my anxiety over this.

The gynecologist I who performed the tests said it was within normal limits. I went to her randomly because the doctor I had been seeing was out on leave. I didn't feel great about this new doctor.

So the report was faxed to my GP who is a general doctor and a man. He seemed very concerned with the lining and said it was borderline. He said something about in postmenopausal women (he knows I'm not), the lining should only be at a certain level and that mine was thick. This didn't make any sense to me because I know it can change over the cycle, but since I was bleeding thought maybe it should be thinner. I was really concerned that he saw the report and maybe the new doctor didn't tell me everything.

I sent the report to my former women's doctor (also not a gynecologist but works only with women). I found out she was back from leave. I only spoke with her through her receptionist, but her reaction was weird too. She brushed me off back to the gynecologist after seeing the report.

I've been super paranoid that there's something on the report that was communicated to me by the initial doctor.

But you really don't see anything indicative of an issue (other than bleeding which is hopefully due to peri even though FSH says I'm not peri--but I'm pretty sure I am cause I'm 50 and have had changes)? The lining measurements, size of uterus, etc. seem fine to you?

I apologize for repeating questions, but it's reassuring to know the reports don't indicate something I don't know about that is serious.

Thanks again. Your responses help me to get some peace of mind through all of this.

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Follow up: Dr. Dr.Dorina Gurabardhi (0 minute later)
Thank you for your patience with my anxiety over this.

The gynecologist I who performed the tests said it was within normal limits. I went to her randomly because the doctor I had been seeing was out on leave. I didn't feel great about this new doctor.

So the report was faxed to my GP who is a general doctor and a man. He seemed very concerned with the lining and said it was borderline. He said something about in postmenopausal women (he knows I'm not), the lining should only be at a certain level and that mine was thick. This didn't make any sense to me because I know it can change over the cycle, but since I was bleeding thought maybe it should be thinner. I was really concerned that he saw the report and maybe the new doctor didn't tell me everything.

I sent the report to my former women's doctor (also not a gynecologist but works only with women). I found out she was back from leave. I only spoke with her through her receptionist, but her reaction was weird too. She brushed me off back to the gynecologist after seeing the report.

I've been super paranoid that there's something on the report that was communicated to me by the initial doctor.

But you really don't see anything indicative of an issue (other than bleeding which is hopefully due to peri even though FSH says I'm not peri--but I'm pretty sure I am cause I'm 50 and have had changes)? The lining measurements, size of uterus, etc. seem fine to you?

I apologize for repeating questions, but it's reassuring to know the reports don't indicate something I don't know about that is serious.

Thanks again. Your responses help me to get some peace of mind through all of this.

doctor
Answered by Dr. Dr.Dorina Gurabardhi (6 hours later)
Brief Answer:
The reports are related to perimenopause.

Detailed Answer:
Hi again dear,

As I mentioned above the reports seem to be related to the perimenopause phase.

It is a physiological phase in every women's life, so you should not be worried.

I suggest regular follow ups at your gynecologist every six months.

I am glad that I could help you.

Take care dear,

Dr.Dorina Gurabardhi
Above answer was peer-reviewed by : Dr. Nagamani Ng
doctor
doctor
Answered by Dr. Dr.Dorina Gurabardhi (0 minute later)
Brief Answer:
The reports are related to perimenopause.

Detailed Answer:
Hi again dear,

As I mentioned above the reports seem to be related to the perimenopause phase.

It is a physiological phase in every women's life, so you should not be worried.

I suggest regular follow ups at your gynecologist every six months.

I am glad that I could help you.

Take care dear,

Dr.Dorina Gurabardhi
Note: For more detailed guidance, please consult an Internal Medicine Specialist, with your latest reports. Click here..

Above answer was peer-reviewed by : Dr. Nagamani Ng
doctor
Answered by
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Dr. Dr.Dorina Gurabardhi

General & Family Physician

Practicing since :2013

Answered : 13592 Questions

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What Do These Reports Indicate?

what do these reports indicate?