WOMENS-HEALTH Messages for August, 2001: Re: [Birth Control] Atrophic Endometrium & Endometrial Polyp

Re: [Birth Control] Atrophic Endometrium & Endometrial Polyp

From: Lynn D. Montgomery, MD (anonymous@obgyn.net)
Wed, 22 Aug 2001 18:13:05 -0500 (CDT)

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Reply: Tedi: "Re: [Birth Control] Atrophic Endometrium & Endometrial Polyp"

At Wed, 22 Aug 2001, Tedi wrote: >
>I am 55 years old (overweight) (history of fibroids). Transvaginal
>ultrasound 7/31/01: enlarged uterus; multiple fibroids (largest 5 mm
>(same as last year); hypoechoic nodule (consistent w/submucosal
>fibroid); endometrial strip 5 cm. After years of normal periods, the
>following has occurred: Period: 3/21/01-3/25/01; Staining:
>4/2/01-4/8/01; 4/30/01-5/8/01; Periods: 5/17/01-5/30/01;
>6/15/01/-6/22/01; and 7/14/01/-7/23/01; I have not gotten a period in
>August yet (usually never late) (no more staining). As of 6/26/01, my
>FSH, etc. did not even indicate that I was perimenopausal. I had an
>endometrial biopsy 8/10/01. Results: endometrial polyp and atrophic
>endometrium (no sign of hyperplasia or cancer). I am scheduled for a
>hysterogram in two weeks. The gyn wants to make sure all of polyp was
>swept away in biopsy and to check for submucosal fibroid; other
>fibroids; and contour of uterus. First, what is an atrophic
>endometrium? Can it be a problem knowing the above? Does it seem
>necessary to do the hysterogram (heard it was very uncomfortable)? Could
>I be peri-menopausal with normal FSH, etc. numbers? Is there are chance
>that the gyn is still looking for hyperplasia or cancer (may not want to
>worry me yet). Thanks for your help.

Atrophic endometrium is usually indicative of no lack of estrogen stimulation, which is usually indicative of menopause. In these times, I am not sure why "hysterogram" or more commonly referred to as a hystersalpingogram (HSG) rather than a hysteroscopy. The HSG can leave doubt about the total picture and certainly doesn't afford the option of removal of the polyp if it persists. The hysteroscopy leaves little doubt about the status of the uterine lining and allows removal of anything like a polyp or even submucosal fibroids on occasion... Lynn

--
Lynn D. Montgomery, MD
Director, Maternal-Fetal Medicine
Rocky Mountain Perinatal Center
Missoula, Montana

**Note:  Opinions expressed here are for educational purposes only and, as such, do not constitute a physician-patient relationship.  This information is not intended to supplant the need for you to consult with your physician prior to choosing therapeutic options and/or interventions.

**Private e-mails cannot be entertained due to time constraints, consequently no private e-mails will receive a response.

**Thank you for your understanding ;-)

Next message: Me: "Spotting"
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In reply to: Tedi: "[Birth Control] Atrophic Endometrium & Endometrial Polyp"
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