The cancer of the endometrium, which is the innermost lining of the uterus, is called endometrial cancer. The cells of the endometrium grow abnormally and have the capacity to spread to other organs of the body. The symptoms are bleeding from the vagina (apart from menstruation), abdominal pain, pain during sex, sudden weight loss, etc.
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My wife's endometrial thickness of the uterus is 5 mm. Is it worrisome?
Query: Hello doctor, My wife had her menopause 10 years back. She does not have any post-menopausal bleeding or any other symptom. At present, she has high blood pressure, blood sugar, allergies like asthma in a change of climate, constipation, and belching. She is currently taking tablet Amlodipine besy... Read Full »
Answer: Hello, Welcome to icliniq.com. The post-menopausal endometrial thickness of less than 5 mm is considered normal. If it is more than 5 mm, there are chances of endometrial cancer. One symptom that is usually associated with increased thickness is postmenopausal bleeding. Hypertension and diabetes... Read Full »
MRI shows 'intermediate signal intensity lesion in endometrial cavity.' What is it?
Query: Hello doctor, My mother aged 55 years got an MRI with an observation of 'intermediate signal intensity lesion noted in the endometrial cavity measuring 19x28x24, in the fundal body region with loss of endometrial interface. Tethering of sigmoid colon with distal ileal loops to the uterus in fundus r... Read Full »
Answer: Hello, Welcome to icliniq.com. With this report (attachment removed to protect the patient's identity), there is a possibility of malignancy. Cancer of the uterus is more likely. I suggest you do CA 125 level, CT (computed tomography) scan abdomen and pelvis, X-ray, sonography, PET (positron emis... Read Full »
Diagnosed with endometrial cancer and underwent hysterectomy. Please guide me.
Query: Hi doctor, I am a 58 year old female. I am suffering from both blood pressure and diabetes. I was diagnosed with endometrial cancer and undergone hysterectomy. I have also attached my reports. Please guide me. Read Full »
Answer: Hello, Welcome to icliniq.com. I had verified your report (attachment removed to protect patient identity) and I must say that you have undergone hysterectomy which is the best-known treatment for grade 2 endometrial cancer. I advise you to consult your doctor regularly even after surgery and do n... Read Full »
Is mild fever during periods indicative of endometrial cancer?
Query: Hello doctor, Some months I have a fever of around 39 degrees on the second day of my period. It may happen three months and may not in one month and again in the fourth month. It is on and off for eight months now. I got an ultrasound, and my doctor wants a biopsy now and will do it without anes... Read Full »
Answer: Hello, Welcome to icliniq.com. Thirty-nine degrees is a very mild grade fever, and it is normal to have this spike during your periods. You need not worry at all. You can take any medicine for fever or tablet Ibuprofen, and even if you do not take it is not going to harm you. Your ultrasound repor... Read Full »
For an endometrial problem, is contrast MRI useful?
Query: Hi doctor, I had not had periods for 8 years. There was some spotting for around a year. The endometrial thickness is 7.7. The complex echo suggesting menstruation, though not having periods. Please help me. Read Full »
Answer: Hi, Welcome to icliniq.com. There is likelihood of serum progesterone deficiency. ET (endometrial thickness) 7.7 indicates a luteal phase defect and spotting indicates irregular shedding. Get a serum progesterone level test done. If low, then cyclical progesterone would have to be star... Read Full »
What is the treatment plan for a 48-year-old women with grade 1 endometrial adenocarcinoma?
Query: Hello doctor, What is the treatment plan for 48-year-old women with grade 1 endometrial adenocarcinoma and right ovary with endometroid carcinoma well differentiated 4.5 cm? Read Full »
Answer: Hello, Welcome to icliniq.com. Please also provide me with the following details to provide a treatment plan. 1. Depth of myometrial invasion. 2. Lymphovascular invasion- is present or not? 3. Status of the lymph node. 4. Peritoneal or omental sampling is done or not? 5. Pre-operative MRI fin... 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 »
Can an endometrial polyp grow so quickly in a span of eight weeks?
Query: Hi doctor, I had induced abortion three months ago and had a transvaginal US. It showed everything was normal and the endo lining was 8 mm and the uterus looked closed. I cannot find that report, but I know the uterus looked normal, just like on all my previous reports. I had my periods regularly f... Read Full »
Dr. Dattaprasad Balasaheb Inamdar
Answer: Hi, Welcome to icliniq.com. From the ultrasound picture (attachment removed to protect patient identity) you have provided, it does not look like polyp in endometrium. In fact it looks like some collection such as fluid or blood in endometrial cavity, although the appearance of single static film ... Read Full »
After menopause, endometrial thickness is 10 mm. What to do?
Query: Hi doctor, I am 63 years old. It has been seven years since my menopause. My endometrial thickness is 10 mm now and the uterus is normal. Two years before, the thickness was 8.6 mm. I have no symptom such as bleeding. Please suggest any guideline for further tests. Read Full »
Answer: Hi, Welcome to icliniq.com. I have read and understood your problem. One research concludes that in a postmenopausal woman without vaginal bleeding, if the endometrium measures more than 11 mm, then a biopsy should be considered as the risk of cancer is 6.7%. Whereas if the endometrium measure... Read Full »
Is adenomyosis a cancerous tumor?
Query: Hi doctor, I have irregular periods with very heavy bleeding, clots, cramps, stabbing pains in my pelvic area with no pattern connecting to bleeding. Some days, I am so fatigue and cannot function. This started five years ago. I had constant bleeding following coil insertion. Then it was removed and... Read Full »
Answer: Hi, Welcome to icliniq.com. The problem which you are facing is most likely due to the adenomyosis and polycystic ovaries. As you have not mentioned your age and the number of kids, it is really difficult to tell you the exact management. Because, management is totally age related and number of k... Read Full »