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No Periods After DLC, Lower Abdominal Pain. USG Showed Thick Endometrium. What Could Be The Cause?
Posted on
Mon, 22 Apr 2013
Medically reviewed by
Ask A Doctor - 24x7 Medical Review Team
Mon, 22 Apr 2013
Answered on
Thu, 16 May 2013
Last reviewed on
Question : no periods yet after DLC done on 5th march 2013, now My USG shows thick endometrium about 12 mm an both ovaries msf.. i m experiencing lower abdominal pain, totally exhosted.. what should be the cause of this bcz this is happening first time about my periods so late. plz help dr. its argent.
Hello XXXXXXX
Thanks for your query.
I Would request you to provide me the details of the previous D and C, why it was done, and the biopsy report of the same if possible.
Regarding your ultrasound report, it appears that you are suffering from endometrial hyperplasia, that is, thickening of the lining of the uterus.
This is due to a hormonal condition, where periods do not occur on time, and the lining of the uterus grows and thickens, but fails to shed off on time.
Please provide me the details requested, so I can assist you better.
Looking forward to hearing from you.
Take care.
Thanks for your query.
I Would request you to provide me the details of the previous D and C, why it was done, and the biopsy report of the same if possible.
Regarding your ultrasound report, it appears that you are suffering from endometrial hyperplasia, that is, thickening of the lining of the uterus.
This is due to a hormonal condition, where periods do not occur on time, and the lining of the uterus grows and thickens, but fails to shed off on time.
Please provide me the details requested, so I can assist you better.
Looking forward to hearing from you.
Take care.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Thank u doctor.
yes My D & C was done to check endometrium biopsy, because last month i had my period on time but bleeding last for 7 to 8 days. The report of biopsy shown simple endometrium hyperplasia without atypia.
What should i do next to come my period.
I m taking tab Meconeuron-HR.
What precaution should i take to overcome this Problem..
Do this affect my fertility...because i am trying to conceive.
yes My D & C was done to check endometrium biopsy, because last month i had my period on time but bleeding last for 7 to 8 days. The report of biopsy shown simple endometrium hyperplasia without atypia.
What should i do next to come my period.
I m taking tab Meconeuron-HR.
What precaution should i take to overcome this Problem..
Do this affect my fertility...because i am trying to conceive.
Simple hyperplasia of the endometrium is due to hormonal imbalance.
You have to try medical management for this problem.
Your Gynecologist would prescribe hormonal treatment in the form of cyclical pills or monthly progesterone therapy which would regulate the endometrium.
The problem can affect your fertility if not treated.
Please consult an infertility specialist who would completely evaluate you for hormonal disturbance, and then treat the problem accordingly.
Investigations like FSH, LH, TSH, PROLACTIN, ADRENAL HORMONES, FASTING SERUM INSULIN, GLUCOSE TOLERANCE TEST should be done.
You have to try medical management for this problem.
Your Gynecologist would prescribe hormonal treatment in the form of cyclical pills or monthly progesterone therapy which would regulate the endometrium.
The problem can affect your fertility if not treated.
Please consult an infertility specialist who would completely evaluate you for hormonal disturbance, and then treat the problem accordingly.
Investigations like FSH, LH, TSH, PROLACTIN, ADRENAL HORMONES, FASTING SERUM INSULIN, GLUCOSE TOLERANCE TEST should be done.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Doctor...plz need some guidance.. following our conversation,
I went to my gynecologist(infertility specialist) yesterday. he prescribed UPT which came negative.
he told that i should wait for one more week and repeat test..
if that also came negative then prescribed deviry tab.
but m experiencing spotting from yesterday. no periods yet.
i m confused whether this problem is due to hyperplasia or may i pregnant..
my currating date was 5th march.should i wait for week or not. because its already about 7 weeks post currating.. can u tell me UPT test confirms pregnancy at which week? and upto which week we should wait if it is negative? or should i take that tablets deviry now? Plz help.
I went to my gynecologist(infertility specialist) yesterday. he prescribed UPT which came negative.
he told that i should wait for one more week and repeat test..
if that also came negative then prescribed deviry tab.
but m experiencing spotting from yesterday. no periods yet.
i m confused whether this problem is due to hyperplasia or may i pregnant..
my currating date was 5th march.should i wait for week or not. because its already about 7 weeks post currating.. can u tell me UPT test confirms pregnancy at which week? and upto which week we should wait if it is negative? or should i take that tablets deviry now? Plz help.
Hello again.
If the UPT is negative, chances of pregnancy are very low.
In endometrial hyperplasia, periods are irregular, so your doctor has asked to wait for a week to confirm the diagnosis.
Please take the Deviry tablets after a week, if the repeat test is normal.
normally the UPT is positive 15 days after conception ( ovulation or fertilization ), however in your condition, as cycles are irregular, this rule does not hold true.
You cannot count 7 weeks, as cycles are irregular.
Please wait for a week more , and then take Deviry as advised.
If the UPT is negative, chances of pregnancy are very low.
In endometrial hyperplasia, periods are irregular, so your doctor has asked to wait for a week to confirm the diagnosis.
Please take the Deviry tablets after a week, if the repeat test is normal.
normally the UPT is positive 15 days after conception ( ovulation or fertilization ), however in your condition, as cycles are irregular, this rule does not hold true.
You cannot count 7 weeks, as cycles are irregular.
Please wait for a week more , and then take Deviry as advised.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Answered by
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