@lgrec You've detailed a complicated history and I thank you for all the detail. This will help myself and others in our Support Group to provide support and suggestions.

I'd like to suggest that if you haven't already done so to please read through this discussion. @debra54 originally posted about her gynecologist's difficulty in doing an endometrial biopsy because her cervix would not open. I think you will find many suggestions and stories here that will help you figure out what to ask a physician.

Suspected endometrial cancer: Cervix won't open to do biopsy:

-- https://connect.mayoclinic.org/discussion/endometrial/

If I were in your shoes I would get another opinion. Since you are postmenopausal and the radiologist noted a thickened endometrial lining another physician may recommend pursuing an endometrial biopsy with other means. In addition, the recommendation could be, as you've written, a hysterectomy with bilateral salpingo-oopherectomy. Do you already have a clinic and/or gyn-oncologist in mind for the second opinion? Would your current gynecologist or your primary care physician refer you to Mayo Clinic for another opinion? Or you can self refer but in my experience it is better to have a physician referral along with imaging and any other testing available to send.

Here is the link to learn about a second opinion at Mayo Clinic:

-- http://mayocl.in/1mtmR63

What do you think you will do? And how are you feeling tonight about all of this?