I've just had my third transvaginal ultrasound scan in just over two years to investigate PMB on HRT regime of Estrogel 3x dose per day with Mirena IUS which was fitted two years ago, as well as Vagifem on alternate days. The bleeding is minimal, very occasional spotting, but my consultant said any bleeding has to be investigated, hence the scan.
What worries me is that my lining has increased from 2.9mm on the previous scan to 3.9mm on today's, and the presence of adenomyosis which was not picked up on my previous scans. My pre HRT lining was 2.1mm in 2015
Last year's scan was my first with the Mirena in place with a lining thickness of 2.9mm, so there's been an obvious increase in my lining thickness at 3.9mm. The cutoff point is 4.0mm, so I'm just within the ‘no further action' threshold — but only just. I'd never heard of adenomyosis until today. The scan result says:
The myometrium appeared asymmetrically thickened and irregular, which is typical of adenmyosis.
Should I be worried?
Apparently it's supposed to disappear after the menopause but in my case it seems to have appeared whereas it wasn't before.
My next appointment with the consultant is in February, and so that's another 4 months before I get a better explanation. I've never had a full term pregnancy, never had a caesarean and I'm post memo, so none of the online info about adenomyosis makes sense in my case.
Anyone else had adenomyosis related to HRT? I know it's apparently “benignâ€.
Thanks