Endometrial Hyperplasia

Thickening of the endometrium, which is the inner lining of the uterus, is called endometrial hyperplasia. Unusual uterine bleeding, heavy and prolonged bleeding, and vaginal bleeding after menopause are the common symptoms. Hormonal therapy or surgery is used to treat endometrial hyperplasia.

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I have intermittent and heavy flowing periods. Why?

Query: Hello doctor, My menstrual period has changed a lot for the past two months. I noticed that it has become intermittent and may last for two weeks with super heavy flows with blood clots. Last month, it started suddenly with heavy flow with big blood clot, and I thought it was my first day. However,...  Read Full »


Dr. Nadia Khan

Obstetrician And Gynaecologist

Answer: Hello, Welcome to icliniq.com. Menstrual irregularities are very common at your age group and it could be due to endometrial hyperplasia (one of the reasons). I would advise you to get a pelvic scan done to see the endometrial thickness to see how it is. If it is normal, then you might need hormon...  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 »


Dr. Sameer Kumar

Family Physician, Obstetrician And Gynaecologist, Infertility Specialist

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 »

Can you please interpret my ultrasound?

Query: Hi doctor, I have been sick for two years. I was diagnosed with HPV two years back, but no treatment was done. Recently, I was diagnosed with anemia. I have lower back pain, fatigue, tingling in legs, right and left pelvic pain. Currently, I am taking Effexor and Adderall. I had an ultrasound done. ...  Read Full »


Dr. Vivek Chail

Family Physician, General Practitioner, Radiodiagnosis Physician, Radiologist

Answer: Hi, Welcome to icliniq.com. The outcome of ultrasound (attachment removed to protect patient identity) is as follows: The uterus is of normal size. The endometrial thickness measures 1.28 cm and this might be at upper limit of normal, depending on your age and time of your cycle. In the elderly age ...  Read Full »

Can reproductive cancer cause abnormal vaginal cancer?

Query: Hi doctor, I have been bleeding heavily from my vagina for past five days. It only happens when I either open my bowel or while urinating. I put in a tampon to confirm that the bleeding is coming from my vagina and not from rectum. When I am not using the bathroom there is no bleeding and no blood o...  Read Full »


Dr. Sameer Kumar

Family Physician, Obstetrician And Gynaecologist, Infertility Specialist

Answer: Hi, Welcome to icliniq.com I believe this is the first episode of heavy intermenstrual bleeding or polymenorrhagia for you and during the mid cycle. The most likely cause for the same can be irregular shedding which can occur in case of ER estrogen excess or progesterone deficiency where endom...  Read Full »

Is there a treatment for endometrial hyperplasia in homeopathy?

Query: Hi doctor, Would you be kind to give us a second opinion based on attached files? Please find the attached pathology report of my wife where basically she was given two options. I have uploaded the findings of endometrial hyperplasia. The options given are hormones for life, Progesterone with three...  Read Full »


Dr. Ajit Naniksingh Kukreja

General Surgeon, Medical Gastroenterologist, Medical Oncologist, Paediatric Surgeon, Surgical Gastroenterologist, Surgical Oncologist

Answer: Hi, Welcome to icliniq.com. I have gone through the reports and the history of illness provided (attachment removed to protect patient identity). Considering the fact that the submucosal fibroid is quiet small in size and the histopathology is suggestive of proliferative endometrium, it is advisable...  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

General Medicine Physician, Internal Medicine Physician

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 »

Kindly suggest the treatment option for endometrial hyperplasia with atypia.

Query: Hi doctor, I am 56 years old female. I have heavy bleeding, and my endometrium is bulky. It is 15 mm. I have placed Mirena before four years, and I have removed it before two months. My doctor did a biopsy, and the report came as hyperplasia without atypia. Please suggest.  Read Full »


Dr. Uzma Arqam

Obstetrician And Gynaecologist

Answer: Hi, Welcome to icliniq.com. Please say whether you had any menopausal or perimenopausal symptoms. Please mention whether you had irregular bleeding or scanty periods or whether there is a stoppage of periods. You have placed Mirena before four years. You can also have side effects. The side effect...  Read Full »

I have spotting every month just before my period. Why?

Query: Hello doctor, I took a morning pill six months ago. Since then, I can see blood spots every month just before my period starts. There is no discharge. The period is fine and regular.  Read Full »


Dr. Vidya

Obstetrician And Gynaecologist

Answer: Hello, Welcome to icliniq.com. The abnormal pattern of spotting cannot be due to the pill as it has been there for longer than expected, for it to be a side effect of the pill.You will need an examination to rule out local causes like:Cervical erosion. Polyps. Endometrial hyperplasia. Polyps. Fibroi...  Read Full »

My 16 year old daughter has PCOS. What are the precautions I need to take?

Query: Hello doctor, My daughter is 16 years old. She has irregular periods. Sometimes, the cycle lasts 15 to 20 days, while on some months, it lasts 40 days. Her doctor advised an ultrasound scan. She was diagnosed with cysts on the right and left ovaries. Her cervix size is 7.5. She was asked to take es...  Read Full »


Dr. Dattaprasad Balasaheb Inamdar

Infertility Specialist, Obstetrician And Gynaecologist

Answer: Hello, Welcome to icliniq.com. Initial periods around puberty can be irregular. If the diagnosis of PCOS (polycystic ovaries syndrome) is correct, she may require medicines to make her periods regular. PCOS girls are at a risk of obesity, diabetes, hypertension and endometrial hyperplasia. ...  Read Full »

My period is heavy and thick. Is it a kind of miscarriage?

Query: Hi doctor, I missed my periods for two months, and now, I have got my periods. It is very heavy, thick like a mucus and the flow is continuous. Why?  Read Full »


Dr. Kamalpreet Kaur Nagpal

Obstetrician And Gynaecologist

Answer: Hi, Welcome to icliniq.com. I have seen the type of bleeding you are getting. Get one ultrasound pelvis done to see the cause. I suggest you tablet Meftaris (Mefenamic acid and Tranexamic acid) for the time being to reduce blood loss. Consult your specialist doctor, discuss with him or her and take ...  Read Full »

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