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

Re: [Birth Control] Atrophic Endometrium & Endometrial Polyp

From: Tedi (anonymous@obgyn.net)
Wed, 22 Aug 2001 18:37:35 -0500 (CDT)

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In reply to: Lynn D. Montgomery, MD: "Re: [Birth Control] Atrophic Endometrium & Endometrial Polyp"

At Wed, 22 Aug 2001, Lynn D. Montgomery, MD wrote: >
>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 ;-)
>

--
Thanks for answer.  What about the possibility that the doctor is still looking for hyperplasia or cancer?

Next message: sln2001: "UCG Test"
Previous message: anonymous@obgyn.net: "Message sent from Tedi Klein 8/22/01 - answered by Lynn Montgomery, M.D."
In reply to: Lynn D. Montgomery, MD: "Re: [Birth Control] Atrophic Endometrium & Endometrial Polyp"

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