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Cancer: Uterine Message Board
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Old 02-15-2011, 02:21 PM   #1
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Thickened Endomitiral lining

Hi, I am 25 years old and I just had an ultrasound because my husband and I have been TTC for a year now and my last 2 cycles have been a little weird. My GYN checked my hormone levels and everything was normal so he sent me for an ultrasound, the tech saw that my uterus was enlarged and my lining was thick. She didnt say an exact measurment but she said it looked like I was about to get my period but I told her that I had just has my period a few days ago. I have been doing some reading and I am really scared... I have no pain, my periods are usualy regular 29 days (except the last 2 cycles- one was 34 days and the last was 40 this last one however only lasted a day or two) My periods are easy, no cramps and minimal bloating. Could I have cancer? What else would be a reason for my lining to be thick? Help!

 
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Old 02-15-2011, 03:13 PM   #2
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Kali333 HB UserKali333 HB UserKali333 HB UserKali333 HB UserKali333 HB UserKali333 HB UserKali333 HB UserKali333 HB UserKali333 HB UserKali333 HB UserKali333 HB User
Re: Thickened Endomitiral lining

Endometrial hyperplasia would be the most likely reason.
This is a "precancerous" condition, an overgrowth of the uterine lining that can potentially turn cancerous if it's not taken care of. It takes a long time for this to happen, though, so you've no doubt got plenty of time to take care of it. Endometrial cancer is very rare in women under 40 years of age.

The way endometrial hyperplasia is diagnosed is that they get a sample of your endometrial lining and send it in to a lab.
This sample can be obtained by D&C, or by endometrial biopsy, an office procedure.

If it does turn out you have hyperplasia, they'll put you on either birth control pills or progesterone supplements for three months, after which they'll do another endometrial biopsy to make sure the hyperplasia is gone.
Three months of progesterone usually clears up endometrial hyperplasia, and then you don't have to worry about getting cancer later in life.

If it's not hyperplasia, it could be endometrial polyps. They sometimes distort an ultrasound and make it appear that you have a thickened lining. These polyps are typically benign, and can be removed in an outpatient procedure.

Or maybe it's nothing at all.
I had a 20 mm endometrial lining back in December. My doctor did a D&C, and I was sure I had hyperplasia at the very least. But it turned out my lining was completely normal.
With younger women who still menstruate, a thickened lining doesn't necessarily mean anything. It's mainly a warning sign in postmenopausal women.
But they'll still need to check it, just to be on the safe side.

Good luck!

Last edited by Kali333; 02-15-2011 at 03:16 PM.

 
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Old 02-15-2011, 03:20 PM   #3
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Re: Thickened Endomitiral lining

I should add, endometrial hyperplasia is caused by an excess of estrogen or a progesterone deficiency, which causes the lining to build up too thickly.

It is common in overweight women (because fat produces excess estrogen) and also in women who are approaching menopause and are having hormonal imbalances.

Since you're young, the latter probably doesn't apply to you. I don't know if the former does or not, but if you're at all overweight, losing weight may help balance your hormones and thin your endometrial lining.

It's also common in women of any age who have PCOS (polycystic ovarian syndrome), which causes their hormones to be unbalanced.
If you have PCOS and are suffering from endometrial hyperplasia, you'll probably be put on birth control pills to balance your hormones and thin your uterine lining.

Last edited by Kali333; 02-15-2011 at 03:22 PM.

 
Old 11-11-2011, 06:36 PM   #4
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Re: Thickened Endomitiral lining

Thanks so much. I am on both tamox and zoladex and had an ultrasound this week - showed 20mm thickness and I have to see a gyny specialist next week. can I ask if you are taking tamox at the moment or zoladex? have just joined this site.

 
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