Is an endometrial thickness of 20 mm three days before periods considered normal?

Question

Hello doctor,

My wife is 50 years old and still has regular periods, but they are heavier than normal. She had an ultrasound four years back, and the endometrium thickness was 10 mm. She had an ultrasound just three days before her period, and her endometrium thickness was at 20 mm. Can this be normal?

Kindly help.

Answer 1

Hello,

Thanks for trusting us with your health care.

I have gone through your history and understand your concerns.

As per your description, these symptoms could be due to hormonal imbalances. As her pelvic ultrasound showed increased endometrial thickness, she should go for an endometrial biopsy to rule out endometrial carcinoma. If endometrial thickness is 20 mm, it is not a very good sign and endometrial carcinoma should be ruled out properly. Get thyroid profile and hemoglobin test done. For excessive bleeding (if any), she can use Tranexamic acid. Consult a specialist doctor, talk to them, and then take the medication.

I hope this helps.

Thank you.

Answer 2

Hello,

Welcome back to icliniq.com.

I have gone through her blood reports, they seem normal (attachment removed to protect the patient's identity). Endometrial thickness of 20 mm is quite on the higher side though ultrasound was done just before the period, it could be more because of this also. Still, it is on the higher side. In my opinion, it is better to rule out the cause, though it could be hormonal also. But it is better to evaluate.

I hope this helps.

Thank you.