Patient's question:
I have been menopausal for ten years. Currently, there is a small amount of vaginal bleeding. I have undergone an ultrasound examination, and the results show no abnormalities in the uterus. What could be causing the bleeding? Is an endometrial thickness of 4mm normal?Doctor's answer:
The thickness of the endometrium during menopause is usually less than 4mm, which is considered normal. Generally speaking, after menopause, a woman's endometrium becomes thinner, so a thin endometrium is a normal phenomenon. Normally, women have menstruation because the endometrium gradually thickens with cyclical changes, and when it reaches a certain extent, menstruation occurs, which is the shedding of the endometrium. Therefore, a woman's endometrium does not thicken excessively. If it thickens for a long time, for example, if some women do not have a menstrual period for several months and then have one suddenly, the amount of menstruation will definitely be increased.