Does endometrial thickening due to uterine fibroids require hysterectomy?

Patient's question:

I am 53 years old. After a thorough examination, I was found to have uterine fibroids and the endometrial thickness is very thick. I had my period on December 20th last month, and it lasted for about a week. However, this month, I had my period again and it arrived five days earlier. Hello, uterus 54

Doctor's answer:

If you are already in your 50s, a thorough examination of the ultrasound findings indicating endometrial thickening is necessary. In this case, it is important to rule out endometrial inflammation, such as endometrial polyps or even endometrial cancer. If necessary, surgical removal of the endometrium may be required for further biopsy. If there are uterine fibroids, and the fibroids have decreased in size, while a careful examination also indicates abnormal endometrium, this situation can be treated in combination with a hysterectomy.

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