Is it possible to conceive with 7.6 mm of uterine thickness?
Patient's Query
Hello doctor,
Kindly review the attached scan report of my pelvis and let me know if there is anything abnormal. This scan was done today because I had a miscarriage nine months ago, and the scan after the miscarriage said that 13 mm of residue was being seen.
The doctor confirmed that I need not worry, as this will tear off in my subsequent menstrual cycles. Now the doctor asked me to get the scan done to see whether everything is fine, as I am trying to conceive again.
Thank you.
Hi,
Welcome to icliniq.com.
From your query, I understood that you have a previous history of miscarriage, and a follow-up scan showed a 13 mm endometrium thickness. A 13 mm endometrium thickness is borderline, which means you may or may not have required a surgical evacuation at that time. Also, endometrial thickness is not a valuable guide, and we consider the clinical parameters like bleeding per vagina as more important for opting for evacuation.
I have gone through your recent ultrasonography report (attachment removed to protect patient identity), where the endometrium is 7.6 mm. It is fine, and I must say it has nothing to do with your previous poor pregnancy outcome.
Both the ovaries are also normal, and this is essentially a normal scan report.
Could you elaborate for me on whether you have any associated disorders as evidenced in your past case history?
Please do blood for Hb gm percent (hemoglobin), TC (total blood cell count), DC (differential count), platelet, LFT (liver function tests), total cholesterol, urea, creatinine, FBS (fasting blood sugar), and PPBS (postprandial blood sugar).
If such is the case, then you need a detailed treatment of those conditions first. Otherwise, there is a possibility of another similar mishap. If you are fit at present, then just start to have Folic acid 5 mg tablets once a day. This will help prevent your pregnancy developing a few congenital anomalies.
I hope it helps.
Thank you.
Patient's Query
Hi doctor,
Thanks for the response.
- Would an endometrium of 7.6 mm cause any problems for me in a future pregnancy?
- Please let me know. Why am I supposed to go for the above investigations?
There was no associated disorder in my previous miscarriage. I was in the 5th week when that mishap happened. My periods are regular, and we have been trying for the last two months. But we do not have enough luck to hear any good news. Hence, I thought of meeting a gynecologist.
Please help.
Thank you.
Hi,
Welcome back to icliniq.com.
An endometrium thickness of 7.6 mm is fine according to the day of the cycle you have done the USG (ultrasonography). This thickness is different from the previous endometrial thickness of the miscarriage. As I told you, there is no relationship. For conception, you need a thick endometrium.
Do not get demoralized only after two months of trying. You should try for at least six to nine months before opting for an obstetrician and gynecologist consultation.
Ideally, we advise waiting and counsel the patient for timed intercourse only to conceive. This means you try to have sex from day 10 to day 16 of your cycle regularly, which is the fertile period. You do not have to do those tests if you are disease-free. I have only enumerated those, as I have seen some diseases in your past diagnosis history. Just start the Folvite (Folic acid) tablet.
I hope it helps.
Thank you.
Same symptoms don't mean you have the same problem. Consult a doctor now!
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