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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Does "endometrial Thickness Is Normal And Measures5.7 Mm.uterus Shows Coarse Echopattern" Mean?

HELLO doctor .Iam 46 yrs old.last month i got heavy bleeding .so my gynaecologist done the ultasound scan. the result came normal regarding the size.It shows.endometrial thickness is normal and measures5.7 mm.uterus shows coarse echopattern.My doctor suggesting for the removal of the uterus to avoid the future complications..Iam scared because i got my galbladder removed recently.I need a second openion regarding this.please can you guide me?
Tue, 17 Jun 2014
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Pathologist and Microbiologist,  's  Response
Hello and welcome to HCM,

At the age of 46 heavy bleeding can be due to hyperplasia with or without atypia and cancer of the endometrium.
The ultrasound of your pelvis reveals thickened endometrium i.e. 7mm.
The thickened endometrium can be the cause of heavy bleeding.
The endometrial glands can show atypia and atypia is a harbinger of cancer.
Thus, removal of uterus will remove any abnormal endometrial lining which can give rise to malignancy in future.

The uterus removal surgery can follow the gall bladder removal.
Proper intraoperative and post operative care will prevent complications associated with surgery.

Thanks and take care
Dr Shailja P Wahal

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What Does "endometrial Thickness Is Normal And Measures5.7 Mm.uterus Shows Coarse Echopattern" Mean?

Hello and welcome to HCM, At the age of 46 heavy bleeding can be due to hyperplasia with or without atypia and cancer of the endometrium. The ultrasound of your pelvis reveals thickened endometrium i.e. 7mm. The thickened endometrium can be the cause of heavy bleeding. The endometrial glands can show atypia and atypia is a harbinger of cancer. Thus, removal of uterus will remove any abnormal endometrial lining which can give rise to malignancy in future. The uterus removal surgery can follow the gall bladder removal. Proper intraoperative and post operative care will prevent complications associated with surgery. Thanks and take care Dr Shailja P Wahal