Well your LINING is absolutely NORMAL - and not the cause of your bleeding.
The fibroids are MOST likely the cause of your bleeding given what you ahve said.
Also I see you are close to perimenopause - so yes this too can be the cause of the bleeding.
NOW, since you have an uterine lining that is less than 4mm - you do Not need an endometrial biopsy since this is not going to be a cancer.
so to help the bleeding - here are some possible things you can do.
1. You can get an Ablation such as the Novasure ablation
2. You can try an UAE - Uterine Artery Embolization
3. You can also try to use the Mirena IUD.
I hope this helps
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Very Unlikely the Ultrasound will change in a year - but if you want to be 100% sure a simple endometrial biopsy can be biopsy
can be done
This is very UNLIKELY to be a cancer - given the 2.4mm you had 1 year ago - it really does NOT turn to cancer.
And a borderline PAP will not be cancer -
so more than likely this is just hormonal - but you CAN do any of the following treatments as I have suggested -
The agnus cactus is fine - but the other 3 treatments do work much better
Are you there?
Actually the lining is not too thin.
What we don't want to see is an endometrial lining greater than 4.0 mm WITH bleeding - and since you have a lining less than 4.0 mm - you are safe. AND 2.4 mm is PERFECT this is NOT that cause of the bleeding
And given you have submucosal fibroids - these are essentially where the blood vessels are located as they supply the fibroids - and hence this is a strong possible cause of your bleeding.
But you are 47 - still could be perimenopausal - hence what we call hormonal bleeding - and hence why the Agnus worked a bit - as this is a weak estrogen product - I would NOT continue to use this all the time.
Blood is blood - does not matter if bright red, brown, purple, fast or slow or clotting or not - so nothing really significant other than you have more blood than you are usual and what you need to do is stop the blood flow.
I wish you well
Have a good day
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