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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Does The Use Of Dianette For 10+ Years Cause Uterine Cancer?

Hello,

I had a vaginal ultrasound scan for suspected ovary pain and although my ovaries were fine they were concerned about endometrial thickness ("8.3mm and a mass of mixed echogenicity measuring 11mm lower down in the cavity") and the possibility of a polyp.

I was referred for a hysteroscopy which I had yesterday under a general anaesthetic. There was no polyp but they took a biopsy and I am now waiting for an appointment to go back for my results.

I am 46 years old with no signs of menopause as yet, no bleeding or excess unusual pain. I am on the pill (dianette - 10+ years) and consequently don't have periods to speak of. I am in excellent health generally, eat well, do plenty of exercise, don't drink or smoke and have always maintained an average weight. I have never had any children.

I am concerned about the risk of uterine cancer, especially as I was referred under rapid access and the whole process from ultrasound to gynaecology to hysteroscopy has taken less than a month.

I'm wondering if my use if the pill could have masked some symptoms?

Any thoughts? I'm genuinely not looking for reassurance just an honest opinion.

Thank you :-)
Fri, 17 Apr 2020
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OBGYN, Gynecologic Oncology 's  Response
Hi,

However reading the information that you have given here, the chances of there being a uterine cancer is low.

The thickness of the endometrial lining changes through a woman's lifetime as well as during each menstrual cycle under the influence of ovarian hormones. The thickness that was reported on ultrasound is within normal limits in any phase of menstrual cycle.

Importantly, the hysteroscopy has been done. The result if normal, will rule out the possibility of a uterine cancer. This will reassure you.

The combined oral pills (dianette belongs to this category) are usually protective against uterine and ovarian cancer.

However, given your age and that you have been taking the pills for 10+ years, it can increase the risk of having clots and other adverse effects such as breast cancer. So, it is worth consulting about future contraception and choosing an alternative method.

Hope I have answered your query. Let me know if I can assist you further.

Take care

Regards,
Dr. Sabina Hussain
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Does The Use Of Dianette For 10+ Years Cause Uterine Cancer?

Hi, However reading the information that you have given here, the chances of there being a uterine cancer is low. The thickness of the endometrial lining changes through a woman s lifetime as well as during each menstrual cycle under the influence of ovarian hormones. The thickness that was reported on ultrasound is within normal limits in any phase of menstrual cycle. Importantly, the hysteroscopy has been done. The result if normal, will rule out the possibility of a uterine cancer. This will reassure you. The combined oral pills (dianette belongs to this category) are usually protective against uterine and ovarian cancer. However, given your age and that you have been taking the pills for 10+ years, it can increase the risk of having clots and other adverse effects such as breast cancer. So, it is worth consulting about future contraception and choosing an alternative method. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr. Sabina Hussain