Does perimenopause cause uterine thickening?

Does perimenopause cause uterine thickening?

Does perimenopause cause uterine thickening?

Women who are perimenopausal or menopausal are more likely to have endometrial hyperplasia. It rarely occurs in women younger than 35. Other risk factors include: Certain breast cancer treatments (tamoxifen).

Can thickening of the uterus cause bleeding?

Symptoms of endometrial hyperplasia include abnormal vaginal bleeding, including bleeding or spotting between menstrual periods, dramatic changes in the duration of menstrual periods, postmenopausal bleeding, or heavier menstrual blood flow. In some instances, endometrial hyperplasia may precede cancer of the uterus.

Can perimenopause cause endometrial hyperplasia?

The incidence of endometrial hyperplasia and endometrial carcinoma are more common in the perimenopausal and postmenopausal women [18]. The risk of endometrial hyperplasia may exceed 30% in perimenopausal women with abnormal uterine bleeding [19,20,21].

What is normal endometrial thickness in perimenopause?

Premenopausal. For women of reproductive age, the endometrial stripe thickens and thins according to their menstrual cycle. The stripe can be anywhere from slightly less than 1 millimeter (mm) to slightly more than 16 mm in size.

How long does heavy bleeding last in perimenopause?

Occasional heavy periods, called menorrhagia, are common in perimenopause. One study of more than 1,300 middle-aged women reported that 91 percent of them experienced at least one occurrence of heavy flow lasting three or more days during a three-year timeframe.

What causes endometrial thickening before menopause?

Endometrial hyperplasia most often is caused by excess estrogen without progesterone. If ovulation does not occur, progesterone is not made, and the lining is not shed. The endometrium may continue to grow in response to estrogen. The cells that make up the lining may crowd together and may become abnormal.

What is the treatment for endometrial thickening?

The most common treatment is progestin. This can be taken in several forms, including pill, shot, vaginal cream, or intrauterine device. Atypical types of endometrial hyperplasia, especially complex, increase your risk of getting cancer. If you have these types, you might consider a hysterectomy.

How is thick endometrial lining treated?