Thick endometrial lining

[kag]

I am 49 and started having irregular periods off and on.  14 months ago I had a D&C with hysteroscopy and three benign polyps were removed.  5 months ago, I had a vaginal ultrasound after a abdominal CAT Scan showed possible ovarian cysts and mild amount free fluid in cul-de-sac. It showed a 9mm endometrial stripe and a 12cm uterus.  The US said all was normal except it did notate an upper borderline adnexa for a person my age??  

The last three months I had 23 then 18 day cycles with spotting inbetween so the doc ordered another pelvic/vaginal ultrasound today.  She said my lining looks thick(day 13 of cycle) and wants to do a water based ultrasound and a endometrial biopsy after my next cycle.

Can anyone tell me what an upper borderline adnexa is for someone my age?  Since my CAT Scan and Ultrasound was considered normal in April, should I be concerned about advanced cancer?  Is my uterus big and is my stripe too big?

Thank you for your thoughts as I am very concerned, Kathy

[juliashiene]

my ultrasound determine that im thick endomrtrial stripe consider sceretory phase endometrium versus decidual reaction of early intrauterine pregnancy ..
uterus 5.0x3.5x4.4cm endometrial 9mm

[old_before_my_time]

Julia - Are you trying to conceive and had a u/s thinking that you were/are pregnant? The endometrial lining can vary from 1mm (at the end of your period) up to 16mm (before your period). At mid-cycle / ovulation, the thickness would be approximately 7-11mm.

[Cherie762]

Hi K, and welcome, I hope I can clear a few things up for you and point you in a direction where you can get some relief from your problems, first off Id like to define what upper borderline andexa means ,,andexa is a medical term for anatomical parts that are related to others , in this case I suspect your gyno means "upper" as in your tubes and ovaries in comparision to your uterus. As for borderline, Im thinking she is curious if they are functioning correctly as your bleeding for som many days per month it would appear that something is off with the hormones, Its very normal for a woman your age to have a thicker than normal endometrial stripe, however bleeding for such an extensive lenght of time is not acceptable or in your best interest of health, not to mention the mere inconvience of it and possible cramping etc,,,

All ultrasounds are done w water, they either fill your bladder w a reverse foley or make you drink a good amount of clear fluids..they will probably give you a abdominal as well as transvaginal, a transvaginal is a scope inserted into vagina, gets real good view of organs.(usually !)

Have you gotten a blood test called CA125? thats the test that indicates cnacer. or the likelyhood of..as far as uterus being enlarged, try not to assume or worry ( I have been ther I get it its hard not to worry) my uterus was 3x normal size at age 43 due to a condition called andenomyosis similar to endometriosis cept tissue os trapped in endometrial stripe instead of abdomonal cavity.

Kathy, there are a few ways to reduce bleeding and Id consider them if I was you and leave a possible hysterectomy as very last resort, I say this because of your age,,your right there if you can get to menopause, your issues will likely dissapear,,( and youll trade them for the delights of menopause , seriously its managable, towugh at first )

there is Leupron, deprovera,,and other meds for a chemically induced menopause it will stop your bleeding, consider that,,

If dr discovers fibroids or cysts he may opt to just do a leep and remove the fibroids only..

Its possible another d and c may benifit you also..If you have not had the ca125 blood test I would insist on it..

let me know if this helped or if I can answer anymore,,I willbe on here tommrow afternoon, Cherie