Patient's question:
AgeDetailed medical condition and consultation purpose: 1. Endometrial hyperplasia (ultrasound performed on the 11th day of the menstrual cycle showed an endometrium of 20 mm, and ultrasound performed on the 15th day showed an endometrium of 22 mm). Is it necessary to undergo a diagnostic (D&C), followed by pathological section examination for diagnosis, to determine if it is benign or malignant? 2. Is it necessary to have surgery for uterine fibroids? The uterus has two fibroids: one is an intramural fibroid with a diameter of 2 cm, growing toward the uterine cavity; the other is an anterior fibroid with a diameter of 6 cm, growing toward the outside of the uterus and the bladder. The menstrual flow is relatively heavy, but there has been no
Doctor's answer:
The thickness of the endometrium varies at different stages of the menstrual cycle. It is recommended to have a vaginal ultrasound three days after the menstrual period to determine the specific thickness of the endometrium. If the endometrium is thick, it can cause severe menstrual pain and make it difficult for the fertilized egg to implant! This means the endometrium of the uterus is thicker than normal. The thickness of the endometrium does not determine whether one can get pregnant; whether ovulation occurs is the key to pregnancy. The normal thickness is generally 0.2--1.0 centimeters. The endometrium is the mucous membrane that covers the uterine cavity and is one of the most highly differentiated tissues in the human body. The thickness of the normal endometrium changes continuously throughout the menstrual cycle and is not constant.