Endometrial Thickening

The inner lining of the uterus (endometrium) becomes thickened, when there is excess production of estrogen with an absence of progesterone. Progesterone is responsible for the shedding of the endometrium during menstruation. In the lack of which, the endometrium does not get shed and becomes thick.

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Is heterogeneous endometrium the cause for my abortion?

Query: Hello doctor, I have suspected abortion at 10 weeks and 6 days with heavy bleeding yesterday. I have my TVS ultrasound today and it shows heterogeneous endometrium. Is it fine?  Read Full »


Dr. Sravanthi Nuthalapati

Obstetrician And Gynaecologist

Answer: Hello, Welcome to icliniq.com. I have seen the report attachments. (attachment removed to protect patient identity). Based on your dates, if your gestational age is 10+6weeks, and if you had heavy bleeding, most likely it indicates an abortion wherein the product of conception have been expelled...  Read Full »

I get irregular periods and so using sanitary pads always. What is my problem?

Query: Hello doctor, I have irregular periods and continuous bleeding in the genital area. So I am using sanitary pad always. And also have some kind of pain in the stomach.  Read Full »


Dr. Bhagyarekha Yattinamani

Obstetrician And Gynaecologist

Answer: Hi, Welcome to icliniq.com. I understand your concern. Please tell me, when did you attain menarche? Have your periods been irregular always? If yes, tell me your cycle length. Are you married? Any children? Are you taking any other medications? When were your last periods? When was this ultrasou...  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 »

Is heaving bleeding with clots a sign of early miscarriage?

Query: Hi doctor, When I had sex with my boyfriend last time, neither I had started my new pack of birth control nor used a condom. I started a new pack around one and a half to two weeks later. But, last week, I started what seemed to be period about a week early. The flow has been a lot heavier, I am goi...  Read Full »


Dr. Sameer Kumar

Family Physician, Obstetrician And Gynaecologist, Infertility Specialist

Answer: Hello, Welcome to icliniq.com. There is all possibility that this may have been an early miscarriage as you were not protected when you had sex. Hence, it is important that you get the serum beta hCG test (human chorionic gonadotropin) done to check the hCG levels and rule out pregnancy anyhow. Also...  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 »

Should I be concerned that my TVS shows thickened endometrium?

Query: Hi doctor, I had symptoms of brown discharge and suggested transvaginal scan which shows thickened endometrium and impression of mildly bulky uterus and cervix. Please see the attached scan report. All blood tests are normal like TC, DC, ESR, Hb, T3, T4 and my TSH is 0. 92. Please suggest whether it...  Read Full »


Dr. Richa Agarwal

Obstetrician And Gynaecologist

Answer: Hello, Welcome to icliniq.com. I have gone through your history, report (attachment removed to protect patient identity) and understand your concerns. Your ultrasound showed thickened endometrium most likely polyp. In my opinion you should continue with the same treatment. If problem persi...  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 »

Can you suggest any alternative medicine for tubal blockage and infertility?

Query: Hi doctor, We have been trying to have a baby, but I have a block in my fallopian tube. As a result, eggs cannot reach the uterus from my ovary. And my endometrium is too thick or too thin at times, so my doctor is also confused. My AMH level is 0.9 ng/mL. I had an abortion four years back and w...  Read Full »


Dr. Alka

Ayurveda Specialist

Answer: Hello, Welcome to icliniq.com. I have read your query very carefully. You did not mention your previous reports, your age, weight, and other medical histories. Are you taking thyroid medicine continuously? What is your husband's health status? As infertility is a complicated procedure and a lot of f...  Read Full »

Why is my endometrium shrinking on 13th day of cycle?

Query: Hello doctor, I am on a 13-day cycle. My endometrium has shrunk to 7.7 which was 7.9 on 11th day. I am on Ecosprin 75 mg, Progynova 2 mg twice a day, Estrogen cutaneous cream. I was on Viagra vaginal insert for five days from day two. Now it has stopped. So, my question is why is my endometrium shr...  Read Full »


Dr. Sameer Kumar

Family Physician, Obstetrician And Gynaecologist, Infertility Specialist

Answer: Hello, Welcome to icliniq.com. A change of endometrial thickness from 7.9 to 7.7 mm is minimal and can be due to measuring bias. However, an ET of more than 7 and less than 8.5 mm by mid-cycle is an acceptable thickness for implantation. The medications that you are on are fine and should be conti...  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 »

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