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[kateJ]

Hi everyone,

i am really appreciative of all the information on here and I am looking for some advice and reassurance please.

I am 55 and have just had my second internal scan in a year to check the thickness of my endometrium. The first result was 6mm and the second, done about a week ago, was 6.4mm, taken 7 days post bleed. The radiographer said that all looked fine and was within the range for a woman on HRT that is, below 8mm.( I have been on HRT for about ten years and changed to the Estrogel/Utro regime in January of this year. However, my 'consultant/specialist registrar at the C & Westminster has advised that I need a hysteroscopy if my lining is above 5mm.

i am confused as i was told that i was in the normal range my the radiographer and research supports her assertion:

https://obgyn.onlinelibrary.wiley.com/doi/10.1111/tog.12150

In this study, it clearly states:

A 10‐year study of endometrial appearance in women on sequential or combined HRT compared with no treatment concluded that women on HRT had a thicker endometrium and a higher incidence of bleeding. No difference in the incidence of endometrial cancer was identified between the two groups, however it concluded that women with unscheduled bleeding on HRT require further investigation by hysteroscopy and biopsy if the endometrial thickness was greater than 8 mm.50.

I am symptom free and I had a colposcopy to rule out anything sinister late last year for post intimate bleeding. I would like to avoid this incredibly invasive and painful procedure if possible, but really don't know what do now.

I would be very grateful for any clarity or advice.

Many thanks