Can you have endometrial hyperplasia without bleeding?
Results: Of 283 patients who had surgery, 209 had no vaginal bleeding at the time of admission. From this group, 75.6% were found to have unsuspected pathology, including endometrial hyperplasia, endometrial polyps, uterine fibroids, adenomyosis, and one case of endometrial carcinoma (0.5%).
How thick was your endometrial lining when diagnosed with cancer?
During this exam, the thickness of the endometrium and the size of the uterus are measured. A thickened endometrium (more than 4 mm) means that more testing is needed. The standard way that endometrial cancer is diagnosed is with an endometrial biopsy.
What causes thickened endometrium postmenopausal?
Endometrial hyperplasia (thickening of the uterine lining): After menopause, you may have too much estrogen and too little progesterone. As a result, the endometrium gets thicker and can bleed. Sometimes cells in the endometrium can become abnormal. This could lead to cancer, so get it treated as soon as possible.
Can you have endometrial cancer without bleeding?
If you’ve gone through menopause, it’s especially important to report any vaginal bleeding, spotting, or abnormal discharge to your doctor. Non-bloody vaginal discharge may also be a sign of endometrial cancer. Even if you can’t see blood in the discharge, it doesn’t mean there’s no cancer.
What is the most common cause of endometrial thickening?
The most common cause of endometrial hyperplasia is having too much estrogen and not enough progesterone. That leads to cell overgrowth. There are several reasons you might have a hormonal imbalance: You’ve reached menopause.
How thick should a postmenopausal endometrium be?
A: When it comes to postmenopausal endometrial thickness, in an average-risk woman with postmenopausal bleeding, a thin, distinct echo of less than 4 mm would require no further intervention, nor would an endometrial echo of less than 3 mm in virtually any other woman.
Is thickened endometrium always cancer?
Thickened womb lining Endometrial hyperplasia is a non cancerous (benign) condition where the lining of the womb becomes thicker. You have a higher risk of developing womb cancer if you have this thickening, especially if the extra lining cells are abnormal. Symptoms of endometrial hyperplasia are: heavy periods.
How thick is endometrium postmenopausal?
Among postmenopausal women with vaginal bleeding, an endometrial thickness ≤ 5 mm is generally considered normal, while thicknesses > 5 mm are considered abnormal4, 5.
What is the treatment for thickened endometrium?
In many cases, endometrial hyperplasia can be treated with progestin. Progestin is given orally, in a shot, in an intrauterine device (IUD), or as a vaginal cream. How much and how long you take it depends on your age and the type of hyperplasia. Treatment with progestin may cause vaginal bleeding like a period.