For Md1963

[QueenoftheNights]

Maybe start your own thread as it's not really about the topic you posted on which is ancient now and you won't get much response.

@MD1963Here- done it for you

I am 55 with 2 children, one 30 and one 18. I have been experiencing perimenopausal symptoms for about 6 years.

I have had irregular periods during this time, sometimes months apart. Never one year apart however.

I recently got a light period (or spotting I guess) after 7 months which was fine. 2 weeks later it appears I am getting an actual period.

My pap tests are normal and I recently had a transvaginal ultrasound. No polyps and no fibroids but an endometrium wall at about 14 mm which is I was told the high end of normal.

I had the ultrasound about 1 day into this light period.

I have been referred to a gynecologist which is fine. My GP is a younger man and is quite uncomfortable talking about this situation.

My question is this- are there any therapies I can use that will assist in thinning the wall? I understand that the thickness fluctuates as well.

Does it sound like I need a biopsy?

Is the thickening of the wall attributed to perimenopause at times and if so, what is the usual treatment?

I am working on finding a new doctor and in the meantime would appreciate some insight.

I am baffled as to why you have been sent to see a gynae or have a scan when you are peri and not post meno.

The rules are if you have bleeding more than 12 months after a gap, it needs investigating. This is to be on the safe side and even 12 months is not 'cut and dried'- some women might have another cycle after 15 months.

You are still having periods even though they are irregular- yes?

The endometrium increases with each cycle as you will understand.
If you are having irregular periods, you can be getting more than 1 month's growth, so yes, of course it will appear thick.

It can go as high as 16mm and be normal.

The best guide for you would be to have your ultrasound after a bleed- so round about day 5-6.

But as you have not gone 12 months with no period, bleeding like you have had is not thought of as abnormal anyway!

The treatment if it was hyperplasia is a course of oral drugs or the Mirena coil.

Why not go back to your GP and discuss- honestly, if he's not comfortable in discussing wombs and periods, he doesn't sound cut out to be a GP as he's going to see one heck of a lot over the years!

Thank you for starting a new thread and thank you so much for replying. I'm going to start to look for a new GP today as you're right, he should have more of a bedside manner and be able to discuss these issues without mentioning cancer (which he did) and getting people frantic.

I really do appreciate it, thanks again!

If you google this- 'normal endometrial thickness' etc etc it ought to put your mind at rest. The reason some women have really heavy periods in peri is there is a few months' of blood to come away, so yes, their lining will be thicker.

from what you said your reading of 14mm was after 7 months of no period apart from some light spotting recently?

Yes, after 7 months no period. I got what I thought was a period, but I think now was spotting two weeks ago. Then this week a light period, although it's getting heavier.

My reading was Tuesday of this week, after the spotting two weeks ago but yes, after 7 months no period.

My period this week was very light again, kind of like spotting but has increased now.