Sign-in to Ask A Doctor - 24x7
OR
Sign in with GoogleGet your health question answered instantly from our pool of 18000+ doctors from over 80 specialties
Menopausal For Years, Had Spotting, Light Bleeding. Ultrasound Showed Hyperplasia. Biopsy Normal. Follow Up Required?
I am 61 years old and have been menopausal for years. I recently had 3 months of spotting and light bleeding. I went to my doctor who did an ultrasound, he said it showed a "thickening of the endrometrium" he said I had hyperplasia.
He did a endrometrial biopsy on Thursday, the following Tuesday the nurse called and said the biopsy was "normal" and did not have any cancer. It is now a week later and I haven't heard anything since the nurse called - the doctor never talked to me. Can I assume that the hyperplasia is gone and that I am now "normal" as the biopsy showed. Is there no follow up to this procedure? My bleeding is gone...so should I just forget about it now? Is an endrometrial biopsy like a pap smear...no cancer found...so nothing to work about? It just seems like there was something wrong and now there isn't because the biopsy was "normal"...
He did a endrometrial biopsy on Thursday, the following Tuesday the nurse called and said the biopsy was "normal" and did not have any cancer. It is now a week later and I haven't heard anything since the nurse called - the doctor never talked to me. Can I assume that the hyperplasia is gone and that I am now "normal" as the biopsy showed. Is there no follow up to this procedure? My bleeding is gone...so should I just forget about it now? Is an endrometrial biopsy like a pap smear...no cancer found...so nothing to work about? It just seems like there was something wrong and now there isn't because the biopsy was "normal"...
Mon, 5 Aug 2013
Hello
Thanks for writing to HCM
Endometrial hyperplasia generally occurs in menopausal women in response to estrogen.
Biopsy can diagnose type of hyperplasia.Atypical type is of concern as it has propensity to convert into cancerous ones.
But, in your case biopsy is normal means it is simple type and mostly this condition is treated by progestin whereas in atypical type hysterectomy should be considered.
Pap smear is used for cervix to screen cervical cancer.
Hope I have answered your question.
You should not be worried as you have simple type.
Get well soon.
Take Care
Dr.Indu Bhushan
Thanks for writing to HCM
Endometrial hyperplasia generally occurs in menopausal women in response to estrogen.
Biopsy can diagnose type of hyperplasia.Atypical type is of concern as it has propensity to convert into cancerous ones.
But, in your case biopsy is normal means it is simple type and mostly this condition is treated by progestin whereas in atypical type hysterectomy should be considered.
Pap smear is used for cervix to screen cervical cancer.
Hope I have answered your question.
You should not be worried as you have simple type.
Get well soon.
Take Care
Dr.Indu Bhushan
I find this answer helpful
Hello.There is a direct relation between endometrial hyperplasia and endometrial cancer (mucosal layer of the uterus).The biopsy may show atypical cells (suggestive of cancer) or not (as is your case) but endometrial hyperplasia (thickening of the layer) continuous and you must be periodically monitored by ultrasound to see if it increases the thickness of endometrium or there are signs suggestive of cancer.Also if you have bleeding again, you must too go to the gynecologist.
I wish you good health.
(If the answer has helped you, please indicate this)
I wish you good health.
(If the answer has helped you, please indicate this)
I find this answer helpful
Note: Revert back with your gynae reports to get a clear medical analysis by our expert Gynecologic Oncologist. Click here.
Disclaimer: These answers are for your information only and not intended to replace your relationship with your treating physician.
This is a short, free answer.
For a more detailed, immediate answer, try our premium service
[Sample answer]
Related questions you may be interested in
Recent questions on Endometrial cancer
Loading Online Doctors....