Concerns Over Endometrial Changes and Polyp Recurrence
In September 2024, I underwent an ultrasound that revealed a 10mm thick endometrial lining during what was around the 13th or 14th day of my cycle, alongside the discovery of a small polyp. Since I began menstruating at the age of 11, I have endured significant bleeding—including large clots—throughout my life, and I am currently 26 years old. In February 2025, I proceeded with a dilation and curettage (D&C) along with a hysteroscopy; results from these procedures indicated everything was normal, aside from the polyp. Fast forward to May 2025, approximately three months post-polyp removal, I had another ultrasound due to experiencing unusual light spotting between my periods for the first time ever, along with cramping outside of my menstrual cycles, and irregular ovulation—late one month and early the next. Upon visiting my gynecologist, he expressed concern over detected calcifications in my uterine cavity because of their location. Additionally, there was a 2cm growth, suspected to be another polyp, and my endometrial lining had thickened to an unusual 19mm. During a manual examination, I experienced considerable pain and tenderness. The physician was surprised given my recent procedures. They have scheduled another hysteroscopy and biopsy, although he does not perform these surgeries himself, so I find myself waiting for another OB-GYN to step in. Currently, I am coping with daily cramping, increased spotting, and an odd, clear, watery discharge that feels like bleeding, though it’s not. Interestingly, my uterus has expanded in width by 2cm in less than a year, now measuring over 6cm according to the last ultrasound. Should I be worried about these developments, or am I simply overreacting? Summary: To recap, I underwent a hysteroscopy and D&C in February 2025 for polyp extraction, where my uterus measured 4.76 cm and the endometrial lining was noted at 10mm with a normal biopsy result. I have been experiencing significant fluctuations in my ovulation cycle, including late and missed ovulations. A recent ultrasound indicated calcifications, a suspected 2cm polyp, and an endometrial lining measuring 19mm, along with my uterus now measuring over 6cm in width. Symptoms have escalated with ongoing spotting, cramping, and unusual discharge. Should I be concerned about these changes, or is my anxiety unfounded?
Answers (1)
6/27/2025, 4:01:27 AM
OpenHealth AI
It sounds like you’ve been through a challenging time with your menstrual health, and it’s understandable to feel anxious about these recent changes. The findings from your recent ultrasounds and preparations for further procedures must be worrying, so let’s break this down.
Main Points
You have experienced significant changes in your endometrial lining, the presence of calcifications, suspected new polyps, and various symptoms, including spotting and cramping. It's important to consider these developments carefully, especially since you have experienced unusual symptoms and structural changes in your uterus.
Explanation
- Endometrial Thickness: A thickened endometrial lining (19mm) can be normal during certain phases of the menstrual cycle, but persistence or rapid thickening warrants further investigation, particularly in the context of your symptoms.
- Polyps: The presence of a new polyp, especially if confirmed in a follow-up hysteroscopy, can lead to irregular bleeding and cramping. Polyps are often benign but can cause significant symptoms.
- Calcifications: The detection of calcifications can also raise concern for underlying issues, and it may necessitate careful evaluation through biopsy.
- Symptoms: Daily cramping, increased spotting, and unusual discharge are definitely symptoms to monitor closely. Not only can they indicate changes that require attention, but your experience of pain during examination suggests an irritation or potential issue that may need addressing.
Next Steps
-
Prioritize the Upcoming Hysteroscopy and Biopsy: Make sure to be proactive about scheduling and preparing for your next procedure. This will help clarify the situation regarding the suspected polyp and any abnormalities narrowed down from previous imaging.
-
Monitor Symptoms: Keep a detailed diary of your symptoms—note any changes in bleeding, pain intensity, and any new symptoms. This can be useful for your doctor in understanding your situation better.
-
Pain Management: Continue to manage cramping with over-the-counter pain relievers (like ibuprofen or acetaminophen) as appropriate. Applying heat (like a heating pad) might also provide relief.
-
Self-Care: Maintain a healthy diet and stay hydrated, as these can help your overall well-being during this time of concern. Practicing relaxation techniques, such as deep breathing or mindfulness, may help manage anxiety related to your symptoms and appointments.
-
Stay Informed: Once your biopsy results come in, ask questions to understand the findings better and what they mean for your health moving forward. Discuss the implications of a thickened lining and polyp recurrence with your healthcare provider to address your concerns.
It’s completely understandable to feel anxious about these developments, but gathering more information and working closely with your healthcare provider will assist you in taking control of your health. Please remember that your concerns are valid, and it’s appropriate to seek clarity and reassurance from your medical team. Let me know if you have any more questions or need additional support!
Related Questions
Battling Chronic Nausea and Vomiting for Over Two Years
For the past two years, I (age 26, female) have been enduring an incredibly challenging health situation. I experience intense nausea daily and find myself vomiting numerous times, with almost nothing providing relief. To provide some background, I’m from West Texas and I currently weigh around 190 pounds, standing at 5’7”. Initially, my weight was about 211 pounds when these symptoms began, and it fluctuates frequently between 190 and 225 pounds. I engage in vaping and consume THC. Previously diagnosed with hypothyroidism, my condition seemingly resolved, according to my healthcare providers. Additionally, I have polycystic ovarian syndrome (PCOS). I have consistently faced irregular bowel movements, with stools that are loose and sometimes appear to have mucus. Compounding my struggles, I've also suffered from migraines. I have had an IUD for over five years, experiencing two insertions of the Kyleena device. In December 2022, my battle with health took a severe turn when I was diagnosed with stage 4 Hodgkin’s Lymphoma, requiring chemotherapy treatment, specifically AVBD (Apologies for not recalling the exact medication names). By July 2023, I had fortunately achieved remission. However, after reaching remission, my vomiting worsened, transforming from primarily white foam to a mixture of 80% bile, any food I attempt to consume, and still white foam. This intense vomiting, accompanied by significant pain in my upper back, escalated to more than eight episodes daily by November 2023. At that time, THC seemed to be the only avenue for me to retain any food. During this tumultuous period, I consulted various doctors who, after confirming I wasn’t pregnant, attributed my symptoms to Cannabinoid Hyperemesis Syndrome (CHS). Immediately, I ceased THC consumption for over six months, yet the vomiting continued unabated. Each time, doctors would prescribe ondansetron, regardless of my claims that it provided no relief. I experimented with various diets recommended by medical professionals, but there were no improvements in my condition. Eventually, I obtained a referral to a gastroenterologist who intended to perform an endoscopy. However, the procedure was prohibitively expensive even with insurance, and thus was never conducted. This doctor also ordered blood tests to rule out several gastrointestinal disorders, such as Crohn's disease, Irritable Bowel Syndrome (IBS), and gluten sensitivity, but all results came back normal. Afterward, I had another appointment with a different gastroenterologist, but the doctor failed to meet with me. Instead, a nurse informed me that the doctor had merely recommended promethazine without conducting any tests or scheduling further visits. When I mentioned the possibility of gallbladder issues, the doctor laughed dismissively at my suggestion. Discussing my situation with my oncologist, he suggested that my heightened sensitivity to food odors stemmed from my chemotherapy experiences while I was working in fast food. While food smells indeed affect me, I'm primarily triggered by medical scents such as rubbing alcohol and cleaning agents. This ongoing ordeal has been overwhelmingly distressing. I now experience episodes of vomiting accompanied by bright red blood, presumably due to a throat tear. When I first encountered this troubling symptom, I consulted a doctor who appeared unfazed and prescribed a promethazine suppository, which does help but makes me extremely drowsy. My nausea persists nearly around the clock, often feeling as if there’s a heaviness in the upper part of my abdomen. I frequent urgent care facilities when my symptoms intensify, only to be met with minimal assistance since this is a chronic issue. Currently, I lack a primary care physician. Whenever I sought one, I encountered skepticism regarding my condition, with some healthcare professionals implying that I was exaggerating my symptoms. Though many physicians who do take my situation seriously seem baffled, I've lost count of the diverse medical experts I've consulted about these ongoing issues. If anyone has insight or suggestions, I would genuinely appreciate it. I can share my latest bloodwork results if that would be helpful—just let me know!
Strange Stomach Sensation Leading to Waking Up
Greetings. I'm a 36-year-old male, standing at 172 centimeters and weighing 90 kilograms. I don't take any medications, nor do I smoke. I've been living with diastasis recti for several years now, and I may also have irritable bowel syndrome (IBS). Additionally, I deal with fatty liver and kidney stones, though I assume these last two conditions are not related to my current concern. Occasionally, I experience a peculiar sensation that jolts me awake; it feels like a quick pulsing in my stomach. I’ve noticed it tends to affect the left side when I’m lying on my left side and the right side when on my right. Remarkably, it can occur even when I’m on my back. This strange feeling often escalates into a surge that fully rouses me. Alongside this, I sometimes feel prickling sensations throughout my body and fleeting lightheadedness. When this sensation disturbs my sleep while I’m turned to my side, shifting onto my back or the opposite side might alleviate it, but not always. In instances where I awaken while lying on my back, I discovered that gently pressing my hands on either side of my stomach can help, as can rising to a sitting or standing position. However, during my last two episodes—one a couple of weeks ago and another tonight—those techniques weren’t effective right away, which made me feel a bit anxious, prompting me to seek advice. Does anyone have insight into what might be going on? By the way, I’ve undergone routine ultrasound examinations of my abdomen by two different physicians during check-ups, both of whom assured me that everything appears normal, including my abdominal aorta and internal organs. They didn’t identify any issues at that time.
24M | Unexplained Fainting Incident
**Note:** I previously shared this story, but it was inexplicably removed. I’m a 24-year-old male without any medical diagnosis or prescription medications. While I do consume alcohol occasionally, I hadn’t been drinking before this happened. Around 3 a.m., I got up from bed to use the restroom. As soon as I began to urinate, I suddenly felt a wave of dizziness. The next moment I was aware of was regaining consciousness in the bathtub, startled awake by the sensation of something dripping on me—only to discover it was my own blood. This was my first experience with fainting. When I came to, confusion set in. I was disoriented and couldn’t comprehend why I was being dripped on while in what I thought was my “bed.” Strangely, I also imagined that I was lying on a collection of marbles (which I actually don’t own)—this turned out to be the shattered glass of my shower door lying around me. I’m uncertain whether I lost consciousness first and then fell, or if the fall caused my brief blackout. It took me a few moments to understand why I was in the bathroom at all. I’m not sure how long I was out; I only remember it was around 3 in the morning when I initially got up, and about the same time when I regained consciousness. I dialed 911, and the ambulance arrived promptly. They checked my vitals, performed an EKG and measured my blood sugar, finding nothing unusual. At the emergency room, they repeated the vital checks, conducted a CT scan, drew blood, and took x-rays—yet still no abnormalities were detected. I had several cuts on my face and left arm (curiously, this is the arm that would have been turned away from the door), along with bruising around my ribs. Since the incident, I’ve been suffering from headaches and pain in my ribs. I received stitches on both my face and arm. The nurse suggested I could have stronger pain relief, but I opted for just Toradol. They eventually discharged me, stating, "We’re unsure what caused this, but return if it happens again." What might have triggered such an incident? How can I safeguard against it reoccurring if they remain uncertain about the cause?
Healing Progress Post-GBS: Toe Concerns
I am a 28-year-old male, measuring 5 feet 10 inches and weighing 131 pounds. My current medications include Fomadatine and Zyrtec, prescribed due to my ongoing battle with Chronic Gastritis and SIBO. I maintain a healthy lifestyle, abstaining from both smoking and alcohol. My health concern revolves around the toe adjacent to my pinky toe on my left foot, as well as my pinky toe on the right foot. Since August of last year, I have been on the mend from Guillain Barre Syndrome. Recently, I've noticed that at night, the skin on my feet tends to turn a reddish pink, although this usually improves after I walk around. However, two of my toes have remained red, with one appearing slightly swollen. Generally, my pinky toes are quite thick, but the condition of my left foot's toe is worrisome for me. It seems that I'm unable to upload an image to illustrate my issue.
Challenges with Appetite and Discomfort While Eating — Difficulty in Gaining Weight
As an 18-year-old male, I find that I become satisfied after consuming rather minimal amounts of food. This situation presents a considerable challenge, particularly since I only need to have a standard breakfast, lunch, or dinner to feel completely satiated for the remainder of the day. My goal of increasing my weight has made this issue even more complicated. When I limit myself to one meal per day, I often face weight loss or an uncomfortable sensation of fullness that leaves me feeling sluggish. Opting for two meals makes me feel excessively bloated, distracting me from my daily responsibilities. Moreover, I suffer from an unusual issue with my throat, where almost any food I consume causes discomfort, as detailed in the list below. I have contemplated focusing on having just lunch while continuing my weightlifting regimen to maintain my current weight and gradually build muscle. What advice could you offer? Could there be an underlying cause for these symptoms? Lastly, would it be wise for me to consult a healthcare professional? Foods That Cause Discomfort: Bread, flour, pizza, fruits, sugary or starchy items, seed oils, chips, and essentially everything else. Foods That Are Tolerable: Rice, salads, chicken, fish, and vegetables. Overall Symptoms Include: * Quick satiety after normal meals * Challenges in gaining weight * Bloated and lethargic sensations when consuming more than one meal * Persistent throat sensitivity to a wide variety of foods