Concerned About Endometrium and Pelvic Pain? Find Answers Here

Concerned About Endometrium and Pelvic Pain? Find Answers Here
Published on, 04 June, 2024. Answered by Ms. Maryam Reinsch and Verified by Dr.Galen Team
Patient Question

Hello Doctor,


I recently had an ultrasound that revealed a suggestive finding of thickened endometrium, along with a mention of cystic endometrial hyperplasia and pelvic inflammatory disease. Additionally, I've been experiencing pain in my left side lower abdomen. I'm concerned about why this is happening and what I should do about it.


Answered by Ms. Maryam Reinsch


Thank you for reaching out to Dr. Galen. Please find the below response to your query.


Thickened endometrium, as indicated by your ultrasound results, is a condition characterized by an abnormal thickening of the lining of the uterus. This thickening, known as endometrial hyperplasia, is typically hormonally driven and occurs under the influence of estrogen, often in conjunction with a deficiency in progestin. While this condition can occur in women of various age groups, it is more commonly observed in peri- or postmenopausal individuals.


Cystic endometrial hyperplasia, mentioned in your ultrasound report, refers to the presence of cysts within the thickened endometrium. These cysts may further contribute to symptoms such as pelvic pain.


Pelvic inflammatory disease (PID) is another concerning finding mentioned in your ultrasound report. PID is an infection of the female reproductive organs, often caused by sexually transmitted bacteria. It can lead to inflammation and scarring of the reproductive tract, resulting in symptoms such as pelvic pain and abnormal vaginal discharge.


Regarding your query about why these conditions are occurring and what can be done about them, it's essential to note that further evaluation and personalized assessment are necessary to provide accurate answers. Your specific medical history, including factors such as age, reproductive status, and any underlying medical conditions, will play a crucial role in determining the appropriate course of action.


In some cases, treatment may involve hormonal therapy to regulate the thickened endometrium and manage symptoms. Additionally, addressing any underlying infections, such as PID, with appropriate antibiotic therapy is essential for effective management.


I understand that you may have additional questions or concerns, and I am here to provide you with the guidance and support you need. Please don't hesitate to schedule a consultation so that we can discuss your case in detail and develop a personalized treatment plan tailored to your needs.



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About Ms. Maryam Reinsch

Ms. Maryam Reinsch

Obstetrician and Gynecologist

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