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How Soon Should An Endometrial Biopsy Be Done For Menopausal Bleeding?

Posted on Wed, 4 Mar 2015

Question: I have menopausal bleeding and saw my Dr. She referred me for a endometrial biopsy after abnormal results from an ultrasound. I have to wait 2 months for this appt. Is this too long to wait

Answered by Dr. Richa Agarwal (53 minutes later)

Brief Answer:
Yes, it is too long to wait for test.

Detailed Answer:
Hi,

Thanks for writing to us about it.

I can understand your concern here.

Yes, it is too long to wait for endometrial biopsy for 2 months after abnormal result in your ultrasound.

In my opinion post menopausal bleeding should be treated immediately.

Hope it is useful, feel free to ask more.

Good luck.

Regards
Dr.Richa

Above answer was peer-reviewed by : Dr. Raju A.T

Follow up: Dr. Richa Agarwal (1 hour later)

What happens if I don't follow up with the biopsy and let things ride

Answered by Dr. Richa Agarwal (6 hours later)

Brief Answer:
Can you please upload your ultrasound report.

Detailed Answer:
Hi,

Nice to hear from you once again.

Can you please upload your ultrasound report, so I will be able to guide you better.

Hope to hear from you soon.

Good luck.

Regards

Above answer was peer-reviewed by : Dr. Shanthi.E

Follow up: Dr. Richa Agarwal (18 hours later)

Examination
Trans vaginal pelvic ultrasound

History
Postmenopausal bleeding

Findings
The uterus measures 4x6x8 cm in size. The endometrium is thickened at 17 mom. A 2 cm fibroid is an incidental finding. The right ovary can not be identified. The left ovary is 2x2x1 cm in size. Color Doppler shows blood flow to the left ovary. No adnexal masses or free fluid is seen.

Impression
17 mm thickening of the endometrium.

I typed this from the report. Can't upload. Haven't got a computer.

Thank you

Answered by Dr. Richa Agarwal (3 hours later)

Brief Answer:
You should go for endometrial biopsy as early as possible.

Detailed Answer:
Hi,

I have worked through your ultrasound report and it is showing your endometrial thickness is too thick(17 mm).

You had vaginal bleeding and associated 17 mm thickened endometrium.( it should be less than 6 mm normally)

So you should go for endometrial biopsy to rule out endometrial cancer as early as possible.

Are you taking any type of hormone replacement therapy? because it may also cause increase endometrial thickness.

Hope it is useful, feel free to ask more.

Good luck.

Regards

Above answer was peer-reviewed by : Dr. Yogesh D

Follow up: Dr. Richa Agarwal (9 hours later)

No hormones

Answered by Dr. Richa Agarwal (1 hour later)

Brief Answer:
Go for endometrial biopsy as early as possible.

Detailed Answer:
Hi,

If you are not taking any hormones than please go for endometrial biopsy as early as possible to rule out endometrial carcinoma.

Hope it is useful.

If you have no further queries than kindly accept my answer before closing the query.

Thanks

Regards

Note: Revert back with your gynae reports to get a clear medical analysis by our expert Gynecologic Oncologist. Click here.

Above answer was peer-reviewed by : Dr. Vinay Bhardwaj