Question: Hi, I'm a 48 year old female, had my first child at 22yrs, second child at 32 yrs and my third at 43yrs. I've never had issues getting pregnant. I've always had painful periods. I've always had debilitating breast pain. I'm having a few symptoms of perimenopause, ie hot flashes. My periods have always been heavy for the first few days, then normal to nothing, they usually last for 5 days, my cycles are usually between 23 and 26 days. However, since October they have been irregular, one whole period in October lasted ten days, there was no red blood just different shades of light to dark brown. Ten days later I had heavy bleeding for 2 days, nothing at all for the following 2 days then flooding for 6 days, after this I had a week of nothing, during this week of no bleeding I developed extreme breast pain, this normally arrives after ovulation and not post bleeding, then 2 weeks of severe bleeding, I used 32 tampons and 4 large packets of night time pads. At day 10 in this cycle, I was given A clotting medicine, Tranamexic Acod (spelling). This only served to make the excess bleeding clot, and I then started to pass very large blood clots so e the size of a tennis ball. My haemoglobin was measured as 103. I was admitted to hospital and a scan was done, along with a D&C, Hysteroscopy and biopsy. The scan results showed, a bulky uterus, thickened endometrium measuring 2.7cm ) without internal vascularity, with hectogenous echo texture, suspicious for endrometial hyperplasia and neiplastic lesion needs to be ruled out. No focal lesion within the myomentrium. The right ovary is enlarged measuring 15.ccm with a 2.4x 2.2x 2cm cyst. No evidence of free fluid in pouch of XXXXXXX Since the D&C, the bleeding has stopped and is just very light brown, I still have pelvic pain. I am to have a 4d scan of the ovary in a few weeks and follow up with a gynae to discuss results and treatment. There is cancer of the uterus mad breast in three second degree family members all on my mother's side. Could the ovary be suspicious for a GCT tumor?

Thank you. I won't know my results until I have a follow up with my gynaecologist, once known, I will provide you with the detail. I was concerned about gct as from what I can understand, it can be caused by too much eostrogen, ie the gct cells produce the eostrogen, which could have caused the endrometrial hyperplasia, sore breasts and a small polyp that was removed during the D&C. Note I haven't taken hormonal contraception since my mid 20's, so where is the excess eostrogen coming from?

Hi there again,

Thank you for your reply.

There is no history of obesity, I've always been slim, current weight is 124llb (56.4kilos), I'm 5ft 4".

No mention of PCOS, I don't appear to fit the criteria, ie facial hair etc.

I get my results on Thursday from the biopsy, I will provide more detail then.

Thanks
Tracy