Suggest Treatment For Irregular Shedding Of The Endometrium

Posted on Thu, 14 May 2015

Medically reviewed by Ask A Doctor - 24x7 Medical Review Team

Thu, 14 May 2015 Answered on

Fri, 5 Jun 2015 Last reviewed on

Question : I am 42 and am seeing dr for spotting and heavy bleeding. I received the results of my uterine biopsy and am confused because I am not on any hormones (birth control). I am on synthroid. I was bleeding when I had this done. Can you please explain these results to me:
FRAGMENTS OF ENDOMETRIUM WITH SECRETORY FEATURES AND DECIDULAIZED STROMA WITH

FOCAL STROMAL BREAKDOWN, CONSISTENT WITH FEATURES OF HORMONAL THERAPY

Answered by Dr. Manisha Jain (53 minutes later)

Brief Answer:
Irregular shedding of endometrium

Detailed Answer:
Hello mam, thanks for trusting health care magic.
I understand your confusion and anxiety related to the test report.
This report is consistent with hormone therapy but also seen in patients with irregular shedding of the endometrium which is very common in perimenopausal women and is the cause of heavy bleeding in your case.
This is common but you will need hormone pills for at least 3-6 months (preferably 6 months) to have relief from this problem.
But the good point here is that it usually responds very well to hormone therapy and thus easily managed.
Visit your gynecologist and get prescription for the same.
All the best
Regards
Dr Manisha

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Manisha Jain (44 hours later)

Thank you for your calm and reassuring answer. I can't tell you how much I appreciate it!

Answered by Dr. Manisha Jain (4 hours later)

Brief Answer:
welcome

Detailed Answer:
Welcome dear.
In case you have any questions in future you can contact me directly on http://bit.ly/drmanishajain

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar