Possible womb cancer ?

Recently has a transvaginal scan which showed a 5.1 endometrial thickening after menopause. Specialist tried to do two procedures to get a biopsy but they couldn’t get through the cervix. Now have to go to hospital as an in patient. Really scared. Has anyone had similar experiences ? 

Parents
  • Hi, I had a TV ultrasound last week and was told the thickness of my uterus was 5.3mm which she said was high normal. My GP said that I would probably need a hysteroscopy and biopsy but said I could be waiting some weeks for a gynaecologist appointment as I had not had any post menopausal bleeding. I couldn’t bear the thought if waiting that long for a first appointment so I have booked a private appointment with a gynaecologist for next week. I was going to ask for a hysteroscopy with a local anaesthetic but after your experience think I will ask for a full anaesthetic. The last smear tests I have had were very uncomfortable so think I may experience similar problems. I have read that it is unlikely to be cancer if the uterus thickness is less than 5.5mm so trying to remain hopeful until I get the biopsy results.  My uterus thickness was only 3mms in April 3020 so very worried why it has increased by 2.3mm in the last 27 months. I am hoping it is just polyps but think these would have been seen on the TV ultrasound. 

Reply
  • Hi, I had a TV ultrasound last week and was told the thickness of my uterus was 5.3mm which she said was high normal. My GP said that I would probably need a hysteroscopy and biopsy but said I could be waiting some weeks for a gynaecologist appointment as I had not had any post menopausal bleeding. I couldn’t bear the thought if waiting that long for a first appointment so I have booked a private appointment with a gynaecologist for next week. I was going to ask for a hysteroscopy with a local anaesthetic but after your experience think I will ask for a full anaesthetic. The last smear tests I have had were very uncomfortable so think I may experience similar problems. I have read that it is unlikely to be cancer if the uterus thickness is less than 5.5mm so trying to remain hopeful until I get the biopsy results.  My uterus thickness was only 3mms in April 3020 so very worried why it has increased by 2.3mm in the last 27 months. I am hoping it is just polyps but think these would have been seen on the TV ultrasound. 

Children
  • Thank you so much for the reply and glad you got a private appointment. I can only speak from my experience but I’m glad they have offered me the anaesthetic option next because the pain was so bad. She did say I had atrophy so that probably played a part in the pain issue. The consultant said that at 5.1 she wasn’t too concerned but it’s protocol to do the biopsy. Apparently polyps usually just show up as thickening and not always as distinct images on the TV ultrasound (I’m no expert but I’ve been reading-up on some research papers). Thanks again for sharing I’m so grateful people have replied. We need to all keep in touch on here. 

  • Thanks for your reply, the news about the polyps has given me some reassurance. Hope you don’t have to wait too long for your next appointment and that it is good news when you get your results. Thee are some other ladies on the forum awaiting biopsies and results so fingers crossed that we all get some good results.  

  • I’ve had quite a few hysteroscopies and can honestly say whilst a little uncomfortable they never really bothered me, I also had one by a general as the polyps were in a difficult place to remove.  I have never found smears particularly comfortable..the nursing staff who are there with you when they do the hysteroscopy are very good at keeping you distracted, I was so busy wittering on it was all over before I knew it.

    Perhaps I was just lucky that I managed to have so many done without a problem as I usually have a very low pain threshold.

    Hope your results are all normal when they come back x

  • I think my thickening (both times) was due to the polyps, thru are very common and usually benign..I was unlucky that one of my polyps contained atypia hyperplasia so my recommended treatment was the hystetectomy I had last week…i am feeling much better though as I head into week 2 of recovery

  • Thank you so much for replying and for your reassurance. The sonographer said she couldn’t see anything on the TV ultrasound so obviously concerned. Please can I ask were your polyps seen initially on the TV ultrasound?

  • No, I was just told womb lining was approx. 7.6mm (2019) and then approx 8.3mm (2023) both times polyps were found when I had hysteroscopies x

  • Thanks so much, feel much more positive now. 

  • Just thought I’d share an update…i went to see someone yesterday because one of my hysterectomy wounds was bleeding, as I was waiting my consultant walked past and said he would see me even though he wasn’t in clinic..I have a huge haematoma which he partially drained and I’ve got a pico line in now which is draining the remainder of the blood, go back tomorrow to get it changed,

    Whilst chatting he said “your histology has just come back” No cancer, not even any sign of the atypia hyperplasia which was originally found in a polyp thry removed…so all good, I was so relieved, certainly wasn’t expecting results back that quick.

    Just need to fully recover from hysterectomy and broken arm now and everything will be good.

  • So pleased to hear this news but sorry to learn that you have had some bleeding. I hope you recover soon, you must be feeling very relieved. I see the gynaecologist tomorrow and think from everything I have read that I will ask for a GA for the hysteroscopy. The last two smear tests have been very uncomfortable and I have a very low pain threshold. Good luck for the future and hope you remain well. 

  • I had my first lot of polyps removed under a general, I wanted them done as an outpatient but they wear in a difficult place, the second lot were done as an outpatient..I’m a wuss, honestly, thought I’d find it unbearable, my last smear was really uncomfortable (glad I won’t be needing anymore of those) but I found all the hysteroscopies fine…my husband couldn’t believe it! 

    I think the main downside to having a general is you usually have to wait longer for them to do it as you need a pre op assessment etc but you have to do what feels right for you.

    I was back at the hospital today as the pico thingy they put on yesterday, and which lasts 7 days for most normal people, only lasted a day for me as I had so much blood in the haematoma, honestly it could only happen to me lol..let’s see how long this one lasts! 

    Hoping you get your appointment soon and all your results are normal when they come back x