Patient's question:
Is there a relationship between irregular bleeding and thick endometrium? Does it require surgery?I have had irregular vaginal bleeding for nearly a month. I am 50 years old. In recent years, my menstrual cycle has been irregular—sometimes I don’t get my period for several months and need to take progesterone, or when I do have a period, the flow is very heavy. Since mid-last month, I’ve had light vaginal bleeding, and so far, tests have shown cervical small cysts, measuring 1512mm, and an endometrium thickness of 11.2mm. It is recommended to undergo immediate surgery to check if it is benign or malignant. On July 3, I had a cervical cancer screening, and the results were normal.
Doctor's answer:
Based on the situation you described and your thorough examination results, the cervical cancer screening you implemented is fine, but it does not necessarily mean the endometrium is also fine. Endometrial cancer symptoms can include endometrial hyperplasia and thickening, as well as irregular vaginal bleeding, and it may be necessary to undergo a dilation and curettage (D&C) procedure. Given the recurrence of this situation, you can consider performing a D&C and endometrial biopsy, and then send the tissue for pathology examination to determine whether the endometrial bleeding is due to fibrosis or other causes.