Endometrial Ultrasound findings and next step suggestions
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!!
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.
I like revaree- been using it since having brachytherapy-can order online.
Reveree is good b/c it doesn't have any other questionable ingredients.
Bocabird and Lilacs,
Thank you for the input on the Vaginal moisturizer. Does it ever go on sale?
@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.