How JustAnswer Works:

  • Ask an Expert
    Experts are full of valuable knowledge and are ready to help with any question. Credentials confirmed by a Fortune 500 verification firm.
  • Get a Professional Answer
    Via email, text message, or notification as you wait on our site.
    Ask follow up questions if you need to.
  • 100% Satisfaction Guarantee
    Rate the answer you receive.

Ask Dr. K. Your Own Question

Dr. K.
Dr. K., Board Certified OB/GYN
Category: OB GYN
Satisfied Customers: 3958
Experience:  OB/GYN with 20 years of experience.
65718478
Type Your OB GYN Question Here...
Dr. K. is online now

9 month ago I had transvaginal pelvis examination. An ultrasound

Resolved Question:

9 month ago I had transvaginal pelvis examination. An ultrasound scan shown the endometrial thickening 7.6 mm. I did have an endometrial sample obtained which shown normal endometrium. I am a post menopausal lady at age 54. I have my endometrium thickened without bleeding. My consultant explained to me that the abnormality on ultrasound needs no further investigation or treatment. I am concerned about risk of developing cancer in the future and also I am in severe abdominal pain. I feel that my pain comes out fro my uterus. Should I see him again and ask for treatment? Thank you in advance. Mrs Morton.
Submitted: 2 years ago.
Category: OB GYN
Expert:  Dr. K. replied 2 years ago.
Dr. K. :

Hello, this is Dr K.. Answers are not medical advice and do not constitute a doctor/patient relationship. I look forward to helping you today.

Dr. K. :

That is an abnormal uterine lining. It increase your risk of cancer and hyperplasia of the endometrium

Dr. K. :

You need an endometrial biopsy

Dr. K. :

Its an office procedure that samples the uterine lining

Dr. K. :

Ultrasound is not diagnostic, the biopsy is required

Customer: A pipelle endometrial sample, which was scanty, had been obtained. This biopsy was negative. But I am in severe pain which I feel is a cause of the endometrium. I want to ask him for Transcervical resection of the endometrium (TCRE).I thought that can reduce my risk of cancer and help ease symptoms of pain. Should I ask for it? Thank you.
Dr. K. :

Was the biopsy read as scanty with insufficient tissue? If so, its not an adequate biopsy. Your pain is not due to the endometrial thickening. That is asymptomatic. It wont get better with that procedure. No, you should first have an adequate biopsy or d and C and go from there. Yes the procedure reduces cancer risk but it will not change the pain you are having. You need to get to the root of that first.

Customer: Nothing is saying in the letter I had from my consultation as scanty with insufficient tissue. It said "A pipelle endometrial sample, which was scanty, has been obtained. It is unlikely that she has any pathology and, if this biopsy is negative, no further investigation of the endometrial thickening is required. After second visit to see him he said that " an ultrasound scan which had shown some minor endometrial thickening at 7 mm and an endometrial sample obtained has shown normal endometrium" . No more further investigation was needed. I was not offered to have any treatments or come back in awhile for another check. Thank you.
Dr. K. :

ok so that is a normal biopsy and its not a source of your pain That does help alot

Customer: Last question. In your opinion Should I ask for D&C or hysterectomy as a treatment to discrease developing a cancer?
Dr. K. :

I dont think a d and c is necessary at all in the absence of bleeding. Actually less than 8 mm is normal Less than 4 mm is almost zero risk of cancer. Thats why the biopsy was done. Hysterectomy is alot for really no diagnosis

Dr. K. :

Maybe consider an endometrial ablation like Novasure if you are really worried

Dr. K., Board Certified OB/GYN
Category: OB GYN
Satisfied Customers: 3958
Experience: OB/GYN with 20 years of experience.
Dr. K. and other OB GYN Specialists are ready to help you

What Customers are Saying:

 
 
 
  • I feel so much better today, and upon further investigation believe that there is a chance that the responses I got saved me FROM a serious, even life threatening situation. I am very grateful to the experts who answered me. Susan O.
< Previous | Next >
  • I feel so much better today, and upon further investigation believe that there is a chance that the responses I got saved me FROM a serious, even life threatening situation. I am very grateful to the experts who answered me. Susan O.
  • Wonderful service, prompt, efficient, and accurate. Couldn't have asked for more. I cannot thank you enough for your help. Mary C.
  • This expert is wonderful. They truly know what they are talking about, and they actually care about you. They really helped put my nerves at ease. Thank you so much!!!! Alex
  • Thank you for all your help. It is nice to know that this service is here for people like myself, who need answers fast and are not sure who to consult. GP
  • I couldn't be more satisfied! This is the site I will always come to when I need a second opinion. Justin
  • Just let me say that this encounter has been entirely professional and most helpful. I liked that I could ask additional questions and get answered in a very short turn around. Esther
  • Wonderful service, prompt, efficient, and accurate. Couldn't have asked for more. I cannot thank you enough for your help. Mary C.
 
 
 

Meet The Experts:

 
 
 
  • Monika Hearne, M.D.

    Monika Hearne, M.D.

    Board Certified OB/GYN

    Satisfied Customers:

    5180
    With experience and compassion, I treat my patients like family.
< Previous | Next >
  • http://ww2.justanswer.com/uploads/drhearne/2009-11-8_74742_monika_hearne2.jpg Monika Hearne, M.D.'s Avatar

    Monika Hearne, M.D.

    Board Certified OB/GYN

    Satisfied Customers:

    5180
    With experience and compassion, I treat my patients like family.
  • http://ww2.justanswer.com/uploads/DR/DrK99/newpic2.64x64.jpg Dr. K.'s Avatar

    Dr. K.

    Board Certified OB/GYN

    Satisfied Customers:

    125
    OB/GYN with 20 years of experience.
  • http://ww2.justanswer.com/uploads/DO/doctor norm/2013-8-13_19659_drnorm.64x64.jpg Dr. Norm S.'s Avatar

    Dr. Norm S.

    Board Certified OB/GYN

    Satisfied Customers:

    7904
    Over 30 years of experience in OB/GYN practice, including teaching students. Fellow of American Board of Obstetrics and Gynecology.
  • http://ww2.justanswer.com/uploads/SA/SaulJE/2013-8-20_202642_drsaul.64x64.jpg Dr. Saul's Avatar

    Dr. Saul

    Doctor

    Satisfied Customers:

    1877
    I am a board certified, practicing obstetrician gynecologist with many years of clinical experience.
  • http://ww2.justanswer.com/uploads/RO/rollins/2015-5-30_142734_.64x64.jpg Dr. C.'s Avatar

    Dr. C.

    Board Certified

    Satisfied Customers:

    1335
    30 yrs experience, awarding winning educator
  • http://ww2.justanswer.com/uploads/jbbrowndoc/2009-09-29_180651_headshot.jpg Dr.JBB's Avatar

    Dr.JBB

    Board Certified OB/GYN

    Satisfied Customers:

    1293
    15 yrs experience in Women's Health, Pelvic reconstruction and Incontinence
  • http://ww2.justanswer.com/uploads/RP/Rpjtlawr/2012-9-5_16443_Robportraitadjusted.64x64.jpg Dr. Lawrence's Avatar

    Dr. Lawrence

    OB/GYN

    Satisfied Customers:

    371
    Board Certified OB/GYN and accomplished educator
 
 
 

Related OB GYN Questions