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Menopause

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Worrying about a hysteroscopy for endometrium thickness - reassurance please!

26 replies

Mouth · 02/01/2025 14:28

I recently changed from sequential to continuous HRT and after a month or so, had a few days of bleeding. My bleeding had pretty much tapered out on sequential, that's why I went on to continuous. But because you're not supposed to get bleeding on continuous and it was my first bleed in a while, I went to the doctor.

Doc referred me to gynae for a transvaginal ultrasound - my endometrium was found to be 5.5mm which they said is a bit thicker than they'd want to see so I have been referred for a hysteroscopy (still waiting for appointment) to check for signs of cancer.

I'm a bit anxious about the procedure itself (no general anaesthetic) but I think I'll cope ok with that as usually don't find smears etc too much of a problem.

Mostly though, I'm worried about any possible findings. I know the thickness isn't that much more than the normal but it is really playing on my mind. Has anyone had experience of a thickened endometrium but had clear results from biopsy?

Thanks to anyone who can offer me a bit of reassurance!

OP posts:
Mouth · 23/01/2025 20:16

Hello, just to update, I had the hysteroscopy about 10 days ago. It was without any kind of pain relief (apart from the paracetamol and ibuprofen I took in advance). I was pretty tense and there were a few minutes of what felt like very severe period cramps. But once it was over, the pain stopped immediately for me so all in all, I didn’t find it too awful. I think it really depends on people’s pain thresholds and different physical make-up. I can see why someone might have a GA. If I were to have another one I’d be prepared to go without GA again.

So they couldn’t see any lumps or bumps (except an old fibroid I already knew about) and said the lining looked thin. Seems positive but obviously won’t know for sure until I get biopsy results.

If my results are clear, I think I will try the vaginal estrogen cream for the UTI-like symptoms @JinglingSpringbells It’s improved now but still getting some twinges.

Good luck to anyone else about to go through the hysteroscopy or waiting for results.

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