Endometrial Ultrasound findings and next step suggestions

Posted by beebe @beebe, Nov 9 3:57pm

Ten years post menopause I noticed mild vaginal bleeding and contacted my primary care physician. She ordered a pelvic and transvaginal ultrasound ( I drank 5 cups of water in 1/2 hour, waited 1/2 hour, and then had the ultrasound; no peeing allowed before the ultrasound). The results are listed below:

OVARIES: Right was normal could not see left ovary due to gas? Should I insist the left ovary be checked out with further testing.
ENDOMETRIUM: markedly thickened and measures 2.3 cm. Careful follow-up is recommended.
ENDOMETRIAL STRIPE: markedly thickened. This finding is consistent with endometrial hyperplasia or neoplasia. Careful follow-up is recommended.

What does the pathologist mean by "careful follow-up". Should I expect to be referred for a Hysteroscopic examination after I see the gynecologist in January (yes, that is the soonest I could get in and she is a Nurse Practitioner so may not do the Hysteroscope procedure).

What are the medical procedural steps I should request/expect to get a reliable diagnosis?
I have been using a vaginal estriol cream for atrophy/extreme dryness. Should I discontinue use of it while I wait for a diagnosis? My Doctor thinks it is fine to continue with it. I am thinking of cutting the dose in half just to be cautious or may find a substitute and discontinue it altogether. Research shows it does not contribute to endometrial cancer but I wonder.
Any thoughts on how I should proceed would be greatly appreciated.

Interested in more discussions like this? Go to the Gynecologic Cancers Support Group.

This morning I heard from the hysteroscopy scheduling Nurse. They have cancelled all elective procedures which require an irrigation solution due to the Baxter Plant being off-line. I am on the list, which is probably long. My guess is sometime next year I will get an appointment. So frustrating!!

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@beebe

This morning I heard from the hysteroscopy scheduling Nurse. They have cancelled all elective procedures which require an irrigation solution due to the Baxter Plant being off-line. I am on the list, which is probably long. My guess is sometime next year I will get an appointment. So frustrating!!

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Just got a phone call from the scheduling Nurse who had previously sent an email telling me there would be a delay in scheduling me due to the shortage of irrigation fluid . To my surprise she called me this afternoon and said that a supply had arrived and I was the first person on her list!! So I got scheduled for late January, which is sooner than I expected, and I am so relieved:)
It will be an in-office hysteroscopy so I hope my pelvic bones and uterus relax enough for good results. The Nurse explained the cervical softening suppository and the pain killer that would be used. Once I had the appointment it was like a weight was lifted off of my shoulders. Guess you do not know how much something is weighing on you until it is gone.

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@naturegirl5

@beebe I was advised to stop Estradiol (vaginal) after I was diagnosed with endometrial (endometroid adenocarcinoma, Grade 1, Stage 1a) that was estrogen positive. That was five years ago. The Estradiol worked very well for me and my gynecologist told me (and reading scientific articles confirmed) that vaginal estrogen is safe because so little of it is actually absorbed within the blood stream. It is applied topically. Anyway, after diagnosis that all changed. I now use a product recommended by my radiation oncologist. It is only sold online and is on the expensive side but it works for me.

Hyalo-Gyn

-- https://hyalogyn.com/products/hyalo-gyn-suppositories-30-day-supply

I like to use the suppositories because they are less messy. There are other good products that you can purchase in your local stores such as Target. I was advised to use a product that contains hyaluronic acid. Here is another product I have used and still use externally (to the vulva):

Good Clean Love BioNourish Ultra Moisturizing Vaginal Gel with Hyaluronic Acid

-- https://goodcleanlove.com/collections/best-sellers/products/bionourish%C2%AE-ultra-moisturizing-vaginal-gel-with-hyaluronic-acid-assortment?variant=42220336218296

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I like revaree- been using it since having brachytherapy-can order online.

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Reveree is good b/c it doesn't have any other questionable ingredients.

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Bocabird and Lilacs,
Thank you for the input on the Vaginal moisturizer. Does it ever go on sale?

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@beebe

Just got a phone call from the scheduling Nurse who had previously sent an email telling me there would be a delay in scheduling me due to the shortage of irrigation fluid . To my surprise she called me this afternoon and said that a supply had arrived and I was the first person on her list!! So I got scheduled for late January, which is sooner than I expected, and I am so relieved:)
It will be an in-office hysteroscopy so I hope my pelvic bones and uterus relax enough for good results. The Nurse explained the cervical softening suppository and the pain killer that would be used. Once I had the appointment it was like a weight was lifted off of my shoulders. Guess you do not know how much something is weighing on you until it is gone.

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@beebe This is very good news that an appointment is scheduled and you were first on the list. I know what you mean about the waiting. Once appointments are scheduled then I begin to feel less anxious too.

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