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What Causes The Thickening Of The Endometrial Lining?

Posted on Tue, 9 Jan 2024

Question: Hi I just got a trans vaginally scan and the report says I have endometrial hyperplasia and left adnexal tumor IOTA RM is 0.4% its likely to be a dermoid cyst. It says endometrial echoes are thickened measuring 27.9 mm. Please suggest

Answered by Dr. Deepti Verma (59 minutes later)

Brief Answer:

Endometrial biopsy and dermoid removal

Detailed Answer:

Hi,

Thickening of endometrial lining can be due to hormonal changes, endometrial hyperplasia or endometrial malignancy, depending upon the age of the patient.

For confirmation of the diagnosis, endometrial biopsy and histopathological examination is required.

Dermoid cyst are benign tumours and can be removed surgically, either by open or laparoscopic surgery.

Hope I have answered your query. Let me know if I can assist you further.

Take care

Regards,
Dr Deepti Verma, OBGYN, Maternal and Fetal Medicine

Above answer was peer-reviewed by : Dr. Kampana

Follow up: Dr. Deepti Verma (22 minutes later)

I missed my period this month my last period was on March 9th can this be a cause for thickening? Beta hcg levels are 1.2. Is biopsy still required?

Answered by Dr. Deepti Verma (16 hours later)

Brief Answer:

Hormonal changes

Detailed Answer:

Hi,

Delayed periods and thickened ET with low beta hCG levels are suggestive of hormonal disturbance resulting in endometrial hyperplasia.

If your age is more than 35 years, then a biopsy is suggested.

Hope I have answered your query.

Take care

Regards,
Dr Deepti Verma, OBGYN, Maternal and Fetal Medicine

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. Vaishalee Punj