
How Can An Uterine Fibroid Be Treated?

You need an additional procedure to sample the uterus
Detailed Answer:
In a postmenopausal woman (defined as no period for 12 months), the presence of bleeding could represent pre-cancerous or cancerous changes. The endometrial biopsy was an excellent first step and very reassuring that this was negative, but it does not rule out cancer 100%. It also does not resolve the issue that the uterine lining was thickened at 12mm and you are still bleeding. Throwing hormones at this is NOT the next most appropriate step. You need:
1. A procedure called a hysteroscopy with D&C
2. This is the best way to get a THOROUGH sample of the uterine lining
3. It is also a time when things like polyps can be removed (which would likely explain the thickening of the uterine lining which should be no more than 4mm at your age)
Here is my ultimate suggestiion - get a second opinion! You need a procedure to evaluate the uterine lining in a more thorough manner and managed by an OB/GYN. My only question for you is why they are not pursuing this in a more aggressive manner??
Dr. Tim


You likely have a uterine polyp
Detailed Answer:
I can completely appreciate where you are coming from. You do not have cancer obviously. But, the fact remains:
1. The lining of the uterus remains thickened
2. You have recurrent bleeding
3. You keep going through the same workup because of the bleeding
I would suggest to a patient such as you that, in all likelihood, you have uterine polyps that, if removed, would get you out of this cycle of visits / ultrasound / biopsies that WILL continue if I am correct. As I sometimes tell patients - "let's end the madness". This is a simple procedure that you will tolerate just fine! And then you will know, once and for all, that it is not cancer or pre-cancerous changes.
Dr. Raichle

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