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After inserting a Mirena should I go and do a ultrasound to check the endometrial lining thickness ?

Hi doc,I m 44 yrs old lady. I had been having irregular periods since Jan 2011. On conducting an ultrasound examination in march, had found that, I had 15mm of thick endometrial lining. My gynaecologist suggested that, I get Mirena (intrauterine system) inserted to thin out my endometrial lining, which I did. He forewarned me that, my bleeding will settle down in 3 mnths, which has settled down. My question is that, should I repeat an ultrasound to check my endometrial lining? or Hysterectomy is the answer to my problemto avoid problems related to cancer in future. I have undergone an abdominal surgery to remove my ovary with cyst 18 yrs ago & one keyhole surgery for PCOS & one surgery for opening of my fallopian tube in the past. Pls advice. Jyoti Thakur
Asked On : Thu, 7 Jul 2011
Answers:  1 Views:  154
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Orthopaedic Surgeon 's  Response
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The think lining in the endometrium can be due to many reasons, common one being hormone problem. Mirena has Progesterone which will thin the endometrium. In some cases after Progesterone therapy the endometrial lining will return to normal thickness. If you have completed your family and going to be menopausal it is good that you get hysterectomy done as this can avoid endometrial cancer in monopausal period. You can get a USG if the Doctor advises which would show thinner lining.
Answered: Thu, 7 Jul 2011
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