Hi purpleflower78
When you say you had regular periods until July this year - do you mean every 28 days and not irregular or variable cycles? Also how long since the first day of your July period until you started bleeding this time? If they were regular up until then and now you've started bleeding heavily eg after a couple of months it could be due to a couple of what is known as anovulatory cycles - which is what you get in early peri-menpause as the ovaries start to fail. This means that several eggs start to develop so you produce lots of oestrogen but then ovulation doesn't occur so the lining has built up but it's not shed.
Do read this article about the peri-menopause to help understand what's going on:
https://www.menopausematters.co.uk/magazine/pdf/Article%20-%20Perils%20of%20the%20Perimenopause.pdfHaving said that it does seem strange for the lining to have built up to that thickness in that short time.
Isn't it good to be able to read the reports online ( same at my surgery) - and you are right to question these results.
I would be asking about this:
"
The total endometrial thickness is approximately 24 mm. Appearances may represent endometrial hyperplasia however other pathology can not be excluded. "
From my limited knowledge that is a much thicker lining than usual ie 24 mm (but presumably maybe normal during peri-menopause?) even at the maximum thickness just before menstruation in a normal cycle. Secondly the fact that the report says that endometrial hyperplasia maybe be present and that "other pathology can not be excluded" - says to me that further investigations are warranted notably hysteroscopy and biopsy - just to rule out anything other than a thick lining due to peri-menopause.
I would say it's not good enough just to assume that it's all OK without further investigation and I would go back and ask for these - unless there is a particular reason for them to say no further action. Yes agree with jaypo there - perhaps it was just the sonographer writing that - although still a bit odd....
In addition - even if there is no abnormal reason for the excess thickness, the doc should surely suggest a way of treating the thick lining eg through a course of progestogen, a Mirena or HRT to ensure you reduce it to within normal limits and don't have to wait until your next ovulation - and in the meantime just bleed!
It may well be that the doc will see these and call you back but if not presumably the doc who ordered the scans said to make an appt after the scans to discuss the results? Even if not - I would do this if you can as jaypo said.
Hurdity x