
I Had Two Irregular Menstrual Cycles. One In April And

Is a DNC needed? My understanding is that women can have longer cycles when they are 50. I don't understand why pills or DNC would be necessary if the bleeding isn't heavy. Can you comment on this?
D&C is needed to check if other pathologies may be causing it.
Detailed Answer:
Hello dear, welcome 'Ask a Doctor' service.
I read your query and here is my advice.
I see the ultrasound report you uploaded and the uterus is enlarged and endometrial lining is thickened.
The spotting is repeated in November and you are right when saying that it is common in women around 50 due to hormone imbalance of perimenopause.
The D&C procedure is done in order to check if there are any pathologies causing the spotting rather than a simple imbalance.
A thickened endometrial lining and spotting may be caused even by endometrial abnormalities or polyps and D&C is needed to provide biopsy material in order to be sure that these pathologies aren't causing the spotting.
Hormone replacement is needed to stop spotting which may make you uncomfortable.
Hope I have answered the question.
Let me know if I can assist you further.


Wouldn’t a biopsy be more appropriate than D&C?
D&C is done to provide biopsy material.
Detailed Answer:
Hello dear and thank you for asking again.
The doctor has stated, thickened endometrial lining but it is not much thickened.
D&C is a procedure when the column uteri are enlarged, opened and material is provided for endometrial lining for biopsy.

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