Hi,
Thickening of the endometrial lining and heterogenous tissue can be caused by various factors. In perimenopausal women, it is not uncommon to experience
irregular periods and changes in the endometrial lining due to fluctuating hormone levels.
However, thickening of the endometrial lining can also be a sign of other conditions such as:
* Endometrial hyperplasia: This is a condition where there is an overgrowth of the endometrial lining, which can increase the risk of developing
endometrial cancer.
* Uterine fibroids: These are noncancerous growths in the
uterus that can cause thickening of the endometrial lining.
* Endometrial polyps: These are growths that occur in the lining of the uterus and can cause thickening of the endometrial lining.
* Adenomyosis: This is a condition where the tissue that lines the uterus grows into the muscle wall of the uterus, causing a thickening of the endometrial lining.
The thickness of the endometrial lining varies depending on the menstrual cycle phase. In premenopausal women, the normal thickness of the endometrial lining is less than 5 mm in the early proliferative phase and can increase up to 10-15 mm in the late proliferative phase. In perimenopausal women, the thickness of the endometrial lining can vary, but a thickness of more than 4-5 mm may warrant further investigation.
Heterogenous tissue in the endometrium can be a sign of various conditions such as uterine fibroids, polyps, or endometrial hyperplasia. However, it can also be a normal finding in some women. It is important to follow up with your healthcare provider for further evaluation and treatment. Depending on the cause, treatment options may include
hormonal therapy, surgery, or a combination of both.
Take care. Hope I have answered your question. Let me know if I can assist you further.
Regards,
Dr. Priyanka, General & Family Physician