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Menopause , Endometrial thickness , & Endometrial Cancer

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* Is normal endo. 5MM if so what would explain endo. of 8MM after novasure ablation? Am sched. for laproscopic explore & hysteroscopy. ..due to enlarging uterus & cervix with pain & slow but steady increase in ca-125 level. Have had numerous CT/MRI/US procedures since 8-2006, Gyno. referred to oncologist I saw last week..any advice appreciated..

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replied June 26th, 2007
Hysterectomy Answer A2977
You wrote:

"Current medical status: novasure ablation left ovary removed 2005. 2006 severe right quadrant pain, appendicitis neg. Monthly bouts of severe pain,CT,MRI,Ultrasound: Enlarged lobulated uteris, 3 fibroids, endometrium 8MM enlarged cervix posterior, free fluid in cul-de-sac (1 of 3 ultra-sounds) elevating ca-125,cea,c-reactive."

It seems that the endometrium is too thick (8 mm) for a woman in menopause. During menopause, the endometrium shouldn’t be thicker than 2 mm. Increased thickness of the endometrium is due to hyperplasia. Endometrial hyperplasia found in a woman during menopause should be taken very seriously because such hyperplasia could be due to endometrial cancer. You have to perform a explorative curettage of the endometrium to reveal the nature of that hyperplasia. If something suspicious comes out, then surgical removal of the uterus (hysterectomy) will be requested.

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