Is increasing womb thickness a cause of concern?

Question

Hello doctor,

I went for a routine ultrasound scan and was told that my womb lining was slightly thick. However, I was told that they would not be considered but to just keep an eye on such heavy bleeding I am going through perimenopause. This was done the day before I started to have a period. The gynecologist told me I was at a slightly higher risk of cancer due to not having any children. Please help.

Answer 1

Hello,

Welcome to icliniq.com.

I understand your concern. From the reports attached (attachment removed to protect the patient's identity), the thickness of the uterine lining is on the higher side. Also, the risk of endometrial cancer is increased in women not having if you have no children. So, I suggest you do D and C (dilatation and curettage). It is a small procedure where the thickness is scraped and sent for examination to check for any malignancy. I also suggest you answer the following questions to assist you further:

1. Do you have any complaints related to menstruation?

2. Is there a family history of endometrial or breast cancer?

I hope this helps you.

Thank you.

Answer 2

Hello,

Welcome back to icliniq.com.

I suggest you do D and C because heavy menstruation or irregular periods might occur in the premenopausal stage.

I hope this helps you.

Thank you.

Answer 3

Hello,

Welcome back to icliniq.com.

I understand your concern. It is good that you do not have a family history. In the premenopausal stage, the endometrial thickness should be less than six millimeters. If it is more than 10 millimeters, it indicates a higher risk. So, it is not very thick, and heavy periods are due to increased thickness. During each cycle, the cell layers are formed inside the uterus (endometrial thickness), and during menstruation, they shed, and the cycle repeats. Though it is not a complication, I suggest you do D and C because if there is any abnormality, it can be diagnosed in the early stage.

I hope this helps you.

Thank you.