Dr. Reetika
Obstetrics and Gynecology
The following is an actual conversation between an iCliniq user and a doctor that has been reviewed and published as a Premium Q&A.
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Patient's Query
Hi doctor,
I just got back my transvaginal ultrasound result, and it says I have an endometrial thickness of 0.9 inch and that it could not rule out endometrial pathology. What does this mean? Should I be worried? I currently take Levothyroxine.
Hi,
Welcome to icliniq.com.
I fully understand your concern and will surely help you. I have gone through the reports (attachment removed to protect patient identity) shared by you. See, the thickness is slightly more, but you need to tell me the other problems or complaints you are having regarding your health. I have enabled free follow up for you, so please give me complete details like the history of pregnancies you have had, any history of illness, and any additional information. Do not worry; I am always there for you. Feel free to ask any questions or to share any further information.
Patient's Query
Hello doctor,
Thank you so much for your reply.
I have been diagnosed with polycystic ovarian syndrome ten years back, and then hypothyroidism three years ago. I never got pregnant because I wanted to pursue other plans, but I want to have a PCOS workup to give me and my husband options next year. Before three years, my periods were so irregular. There would be months when I did not have any bleeding. It started to become semi-regular when I began taking Levothyroxine. For the past few months, though, sometimes I bleed more than the usual, although it usually lasted for one or two days. I would also experience abdominal cramps or pressure, but never painful enough that I would double over or it interferes with my life. But what motivated me to seek consultations, besides a PCOS workup, is I tend to bleed when I engage in moderate exercise, especially when it involves jumping. Other than these, I am generally fine. My thyroid levels are normal, according to the new test results. I do not have diabetes or hypertension.
Hello,
Welcome back to icliniq.com.
Your scan (attachment removed to protect patient identity) shows thickened endometrium. The uterus' lining is thick; it can happen when you have irregular cycles as in PCOD (polycystic ovary disease). When you do not bleed cyclically, the lining keeps growing, and then it shed or bleeds irregularly for a prolonged duration. Generally, the premenstrual phase thickness is less than 15 mm. The second cause can be any polyp or small fibroid in the wall of the uterus. That also bleeds irregularly and even sometimes after coitus. You can undergo hysteroscopy (inspection of the uterine cavity with endoscopy) and directed biopsy to know the cause.
Take care.
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Obstetrics and Gynecology
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