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
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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.
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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.
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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.
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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.
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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!
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