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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Continuous Mild Bleeding. USG Taken, Suggestions?

My wife 43, had continuous mild bleeding in last 1 month, USG shows

"Endometrium is echogenic, hypertrophied and central in alignment (ET-13.5 mm), no endometrial / subendometrial lesion seen. Ovaries are normal in size and echopattern. Impression is Echogenic Hypertrophied Endometrium and suggested clinico-pathological correlation.

She has started medicine Regestrone 5 mg, prescribed by a Gyanace since a week, bleeding is stopped since 3-4 days

Should we go for Byopsy or wait for more time, is it due to Hormonal Changes or cancer development?

Thanks for your answer
Fri, 7 Jun 2013
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Radiologist,  's  Response
Hello,
Thanks for writing in.
As you say, your wife 43 years of age had continuous mild bleeding with USG findings pointing towards echogenic hypertrophied endometrium.
Generally speaking an endometrium thickness upto 10 mm is taken as normal. SInce your wife is approaching the menopausal age, there can be phases of irregular bleeding in many women. However, please do not hesitate to take gynaecological consultation immediately (even if the bleeding has stopped). Please go for a biopsy if the consulting gynaecologist insists.

As for cancer, prevention is the best cure and so is early detection.
Without a biopsy its difficult to confirm in some patients.

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Continuous Mild Bleeding. USG Taken, Suggestions?

Hello, Thanks for writing in. As you say, your wife 43 years of age had continuous mild bleeding with USG findings pointing towards echogenic hypertrophied endometrium. Generally speaking an endometrium thickness upto 10 mm is taken as normal. SInce your wife is approaching the menopausal age, there can be phases of irregular bleeding in many women. However, please do not hesitate to take gynaecological consultation immediately (even if the bleeding has stopped). Please go for a biopsy if the consulting gynaecologist insists. As for cancer, prevention is the best cure and so is early detection. Without a biopsy its difficult to confirm in some patients.