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HomeAnswersObstetrics and Gynecologyendometrial thicknessMy wife's endometrial thickness was 20 mm. Is this normal?

Is an endometrial thickness of 20 mm three days before periods considered normal?

The following is an actual conversation between an iCliniq user and a doctor that has been reviewed and published as a Premium Q&A.

Medically reviewed by

iCliniq medical review team

Published At May 26, 2024
Reviewed AtJune 6, 2024

Patient's Query

Hello doctor,

My wife is 50 years old and still has regular periods, but they are heavier than normal. She had an ultrasound four years back, and the endometrium thickness was 10 mm. She had an ultrasound just three days before her period, and her endometrium thickness was at 20 mm. Can this be normal?

Kindly help.

Answered by Dr. Richa Agarwal

Hello,

Thanks for trusting us with your health care.

I have gone through your history and understand your concerns.

As per your description, these symptoms could be due to hormonal imbalances. As her pelvic ultrasound showed increased endometrial thickness, she should go for an endometrial biopsy to rule out endometrial carcinoma. If endometrial thickness is 20 mm, it is not a very good sign and endometrial carcinoma should be ruled out properly. Get thyroid profile and hemoglobin test done. For excessive bleeding (if any), she can use Tranexamic acid. Consult a specialist doctor, talk to them, and then take the medication.

I hope this helps.

Thank you.

Patient's Query

Hello doctor,

Thank you for your reply.

I have attached her recent blood work results that were taken this month when she had her ultrasound. They all seem normal. She is going to consult a gynecologist. Do you think the 20 mm thickness may be because of having the ultrasound just before her period started?

Answered by Dr. Richa Agarwal

Hello,

Welcome back to icliniq.com.

I have gone through her blood reports, they seem normal (attachment removed to protect the patient's identity). Endometrial thickness of 20 mm is quite on the higher side though ultrasound was done just before the period, it could be more because of this also. Still, it is on the higher side. In my opinion, it is better to rule out the cause, though it could be hormonal also. But it is better to evaluate.

I hope this helps.

Thank you.

Same symptoms don't mean you have the same problem. Consult a doctor now!

Dr. Richa Agarwal
Dr. Richa Agarwal

Obstetrics and Gynecology

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