Ask The Nurse

To personally discuss a medical issue or to make an appointment, call 216-444-4HER (216-444-4437). You can also make an appointment at Cleveland Clinic. For your security, please do not use this form to email personal, confidential health information. We cannot diagnose or treat by email. Our email policies are explained further in this disclaimer. You may also wish to review our privacy statement. Disclaimer | Privacy

I am 61 and went through menopause at age 50-51. On a routine check-up, I had a vaginal ultrasound which indicated a thickened endometrium - the doctor said about 7mm.

The endometrium biopsy is "benign endometrial hyperplasia". The pap smear was negative and I have no symptoms, I am not overweight, and I have never been on any estrogen or any type of hormone therapy.

I’ve had 5 normal vaginal births and 1 miscarriage (at 3 weeks) due to the flu. My doctor wants to do a D&C next, but I do not understand why I cannot try treatment with progestin first. He became agitated when I brought up that option. This is a new doctor to me; I had to switch due to insurance, and I am not confident with him.

You need to seek out an OB-GYN that you are comfortable with. You will need another endometrial biopsy within 3 months after treatment with high-dose progestin. You can also request another pathologist to review the slides.

If there is any atypia, a hysterectomy would be recommended. Endometrial hyperplasia can be a precursor to endometrial cancer, so you need close follow up.

All My Best,
Speaking of Women’s Health Nurse

March 19, 2018 at 2:33pm

Share this article

 

Go back to the question archive