The biopsy of the inner lining of the uterus (endometrium) is called an endometrial biopsy. A small tissue sample is collected and tested for abnormal cell changes or hormonal levels. It is used for diagnosing endometrial cancer, infection of the uterus, and endometrial hyperplasia or in cases of bleeding after menopause.
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How to improve my endometrial thickness to get pregnant?
Query: Hello doctor, My age is 32, and my husband is 37. We have been married for nine years, and I have been trying for conception for eight years. I did conceive last year, but the heartbeat was not seen. So, I underwent D and C. Till last year, and my period was regular. But, it became very scanty after... Read Full »
Answer: Hi, Welcome to icliniq.com. I can understand your anxiety. I have read your problems and your husband's report (attachment removed to protect patient identity). It seems that your problem could be due to vigorous curettage (dilation and curettage) or due to endometrial infection, such as tuberculo... Read Full »
How can I help my mother, who has abdominal pain and stage 3 cervical cancer that has spread to the abdomen after the surgery?
Query: Hello doctor, My mother's cervical cancer was detected in Pap (Papanicolaou) smear test and biopsy, so the doctor removed her uterus but retained her ovaries. I do not know why she feels tired and has stomach pain three years after the surgery. We took her to the hospital, and the doctor said she ha... Read Full »
Answer: Hello, Welcome to icliniq.com. Every doctor does his best to save the patient's life, but cancer is difficult to predict. The oncology team will decide the best treatment plan for her. Read Full »
How to know if the miscarriage is caused due to endometriosis?
Query: Hello doctor, My friend tested positive for chronic endometritis following a biopsy. Her question is, what needs to be present in the tissue sample to conclude that the endometritis is the result of a miscarriage? What could be the other causative agents? Read Full »
Answer: Hello, Welcome to icliniq.com. Conclusive proof for endometritis, following a miscarriage, would be the presence of villi and decidua in the biopsy. However, that may not be seen in most cases. Blood beta hCG levels in pregnancy range, just before the biopsy would suffice. For further queries cons... Read Full »
What is the possible link between Koch's disease and irregular periods?
Query: Hello doctor, My wife is suffering from irregular and painful periods from more than a year. We went to the doctor, and he told us to perform several tests like serum vitamin, serum prolactin, thyroid function, hemogram, calcium level, and Mantoux test. The reports, which I have attached, showed th... Read Full »
Dr. Sanjay Kumar Bhattacharyya
Answer: Hello, Welcome to icliniq.com. This is a case of irregular, painful periods, which is not uncommon among the woman who has not become a mother yet. I have gone through the report (attachment removed to protect patient identity), but I could not find anything suggestive of tuberculosis (Koch's diseas... Read Full »
How to treat postmenopausal vaginal discharge?
Query: Hello doctor, I am a 52 years old female, who weighs 75 kg, and I am 152 cm tall. I have postmenopausal vaginal discharge with a fair amount of red spots. What could be the cause? I had my menopause 1.5 years back, and I have type 2 diabetes, hypothyroidism, and asymptomatic cholelithiasis from l... Read Full »
Answer: Hi, Welcome to icliniq.com. I have seen all the reports (attachment removed to protect patient identity). First, D and C (dilation and curettage) with cervical biopsy with acetic acid or Lugol's iodine should be done as you have postmenopausal spotting with thickened endometrium of 9 mm, with ass... Read Full »
Why am I bleeding heavily if I do not take Progesterone?
Query: Hi doctor, I am 5'10" and 250 lbs. I am 28 years old. I have a history of PCOS, had an endometrial biopsy, and it came back negative for hyperplasia and malignancy. The reason for my visit was period started with passing large clots and continuous period. Currently, I am menstruating for three mon... Read Full »
Answer: Hello, Welcome to icliniq.com. This is a typical progesterone deficiency where you should ideally be started on cyclical progesterone therapy from day 11 to day 25 of your cycle or on continuous progesterone therapy for three months. You should take treatment for at least three months to control men... Read Full »
Can I drink water while fasting for a thyroid profile test?
Query: Hello doctor, Since the last 10 months, my periods are very irregular. I get periods only once every three to four months. I am on treatment for abdominal TB since the last one and a half years. I take Sompraz D20 on an empty stomach in the morning. I take Duonase nasal spray (two puffs in each nos... Read Full »
Answer: Hello, Welcome to icliniq.com. Your irregular periods can be due to your obesity. You need to lose some weight. You have a history of TB (tuberculosis). So, there may be chances that your uterus might have got affected due to that. I suggest the following tests: USG (ultrasonography) of th... Read Full »
How to get rid of abdominal pain due to uterus fibroids?
Query: Hi doctor, My sister is 46 years old now. She got married 17 years back and have a girl child of age 15. For nearly 10 years, she is having abdominal pain, which will occur during the periods and will last for five days. It will start two days before periods and will last three or four days after i... Read Full »
Answer: Hi, Welcome to icliniq.com. After going through the detailed information given by you, the issues I think need resolution are as follows: Regarding fibroid it need removal as that is an important cause of pain abdomen. It can be done laparoscopically at this age. My suggestion is to remove the ut... Read Full »
My partner bled heavily after 3 years of menopause. What to do?
Query: Hi doctor, This is on behalf of my partner. She is 51 and has been through the menopause. She has not had a period in 3 years. Last week, she bled quite heavy for a few days. A duty doctor told her to get a blood test done. She had the blood test done today. My partner did not tell the family hist... Read Full »
Dr. Geetha Priyadarsini Kamminana
Answer: Hello, Welcome to icliniq.com. Postmenopausal bleeding is the vaginal bleeding, which occurs 1 year after attaining menopause. It should be evaluated, particularly in whom with a family history of carcinoma. PMP bleeding patients are at high risk of endometrial cancer. The causes of PMP bleedin... Read Full »
How to manage heavy menstrual flow?
Query: Hi doctor, I have been suffering from heavy menstrual flow for the past 1.5 years. Around six months, I had heavy flow with clots. Now, I have been menstruating for the past 20 days continuously with heavy flow and clots. My current medication includes capsule Gynae CVP, tablet Augmentin and caps... Read Full »
Answer: Hi, Welcome to icliniq.com. You are losing blood heavily. Kindly upload your reports as well. Since you are bleeding for the last 20 days continuously, first we should try to stop this. I suggest tablet Meftaris (combination of Tranexamic acid and Mefenamic acid) one tablet thrice a day for three... Read Full »