What should you know about postmenopausal thickening of endometrium?

Postmenopausal thickening of the endometrium needs clinical context because it can reflect a benign change, a polyp, hyperplasia or a condition requiring treatment. Doctors consider whether you have bleeding, how the lining looks on ultrasound, your medicines and other health factors. Thickening alone cannot confirm or exclude cancer.

The endometrium is the lining inside the womb. After menopause it is often thinner, but its appearance can vary. Endometrial Polyps are focal growths, and Endometrial Hyperplasia is an abnormal overgrowth of lining cells. Genitourinary Syndrome of Menopause affects nearby tissues and may cause bleeding that prompts imaging. Womb cancer can present with bleeding, while Cervical Cancer or Vaginal Cancer may cause bleeding from outside the womb.

Take the scan report to the clinician managing your care and describe any spotting, discharge or pelvic discomfort. They may compare the scan with earlier images, repeat imaging or arrange hysteroscopy and a biopsy. Mention hormone therapy, tamoxifen, blood thinners and previous uterine procedures. If tissue changes need treatment, the plan may involve medication, removal of a polyp or surgery such as Radical Hysterectomy in selected circumstances.

Contact a clinician promptly if you have any vaginal bleeding after menopause, including light spotting or bleeding after sex. Seek urgent help for heavy bleeding, faintness, severe pelvic pain, fever or marked weakness. Do not wait for a routine scan review if symptoms are worsening or you feel unsafe travelling alone.

Ask whether the thickening is even or focal, whether a polyp is visible, how your medicines affect the interpretation and what follow-up is recommended. Ask how a biopsy or hysteroscopy is performed, when results should arrive and what symptoms require faster review.