Dr. Sravanthi Nuthalapati
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,
For the past year, I sometimes notice a red stringy-looking tissue while urinating. A few weeks ago, I was diagnosed with thickened endometrium? Are these two probably related?
Hello,
Welcome to icliniq.com
Based on the details you mentioned, the thickened endometrium (lining tissue of uterus) appears. It must be causing irregular intermenstrual spotting, which you notice while passing urine as red stringy-looking tissue which must be nothing but blood mixed with your normal vaginal discharge. I would like to know the measured thickness of the endometrium. If you experience any heavy or prolonged bleeding during your periods and whether your cycles are regular or not? If so, you should get an endometrial biopsy evaluation to rule out any pre-cancerous or cancerous changes in the endometrium. I also wanted to mention that your body weight appears to be quite high for your height. Even being overweight can cause hormonal disturbances, which can influence the endometrium (due to estrogen excess). So try to reduce your weight, and do daily exercises and have a healthy diet.
I hope this information helps you. Please feel free to revert anytime for any further queries or information.
Have a nice day.
Patient's Query
Hello doctor,
Thank you for your reply.
Yes, I have PCOS and hypothyroidism. My menstruation is irregular, and I am prone to heavy bleeding. Usually, however, it lasts only for a day. Three years back, my periods are almost every month, although they are shorter than five to seven days. It used to be regular from my teens to my early 20s. I already had a biopsy because my endometrial thickness was already 25 mm.
Hi,
Welcome back to icliniq.com.
Yes, that explains the endometrial thickness in your case, which is the background of PCOS (Polycystic ovary syndrome). You needed a biopsy for evaluation as the lining is quite thick. Do let me know the result of your biopsy, as that will guide the further plan of action. If it is a precancerous change only, you can be treated with medications and followed with biopsy to re-evaluate. But if endometrial cancer is found, then treatment involves removing the uterus depending on the fertility concern of yours and the disease stage. If you have already married and have children, it is better to get the uterus, both ovaries and tubes removed.
Treatment plan
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Obstetrics and Gynecology
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