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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest treatment for thickened endometrium

Hi, I am 24 years old, married a year ago, no offspring, I used to have regular cycles (every 28 to 30 days)
in Jan. 2015 I had missed period, I've done Beta hcg but it was negative, I did vaginal U/S after 2 weeks of missed period and it revealed:
thickened endometrium (16 mm ), a small cyst on the rt. ovary, I did not received treatment
the a menstrual bleeding occured on 4th feb. 2015 and lasted for 6 days....
then at 22 feb, i began spots !! which lasted for 7 days !
then restarts on 4 march .... then i did another vaginal U/S and revealed ( endometrial thickness: 12 mm with the same cyst on the rt ovary ....
on 5th march the bleeding became heavier with pain ...
I received gynera on 9th march but the bleeding persists up till now...
I saw a doctor today and made U/S revealed endometrial thickness: 21 mm and slightly enlarged ovaries with small follicles ( no growing follicles) with thick stroma and no cysts on ovaries
what is the diagnosis !!!
iam a GP but can not explain what's up !!
could you help me !!
Wed, 29 Apr 2015
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OBGYN, Maternal and Fetal Medicine 's  Response
Hi, I have gone through your question and understand your concerns. Thickened endometrium is found in:
1. early pregnancy
2. Polycystic ovarian syndrome
3. Endometrial hyperplasia
4. Endometrial carcinoma
Since your beta HCG values are normal, pregnancy is ruled out.
I would suggest you to get an endometrial biopsy or D &C done so that the histopathological examination of the endometrium can be done and appropriate treatment can be done.
Hope you found the answer helpful.
Wishing you good health.
Dr Deepti Verma
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