Hello and welcome to HCM.
Thank you for your query.
I have gone through your query, and in my opinion an
ultrasound would be necessary. You have not mentioned your age, but it is quite common for women in the reproductive age group to have problems like fibroids,
endometriosis, etc; as these are all hormone-dependent conditions. And your hormones are at their peak during the reproductive age group.
Whether the cause is a fibroid
uterus or some other underlying condition causing endometrial thickness, an ultrasound would be mandatory and very helpful to diagnose the condition by visualization. Please do not hesitate. An early diagnosis, makes treatment of any and every condition much simpler. Please go ahead.
I hope I have succeeded in providing the information you were looking for. Please feel free to write back to me for any further clarifications at: http://doctor.healthcaremagic.com/doctors/dr-shoaib-khan/64581 . I would gladly help you.
Best wishes.