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[Turkish delight]

Hi all

So i'm looking at booking a private scan to assess the thickness of my endo.
Looking online it seems the most accurate way, is to have a transvaginal scan,
and not a regular ultrasound. Is this true? What do you all ask for?

Also, I'm guessing I should go after a bleed or not? I have no idea please help.

TD

[Summer-sky]

Hi Turkish Delight,

A transvaginal scan is good for evaluating the thickness of the endometrial lining and best to go after the bleed has ended. Hope it all goes well.

[Bindi]

Hi hun
I would do vaginal scan but 2wks after a bleed so everything is settled hun..gd luck

[chopsuey]

I had both, included for the same price. I couldn't drink and hold the full amount of fluid an hour before the scan though, so the visibility from the regular ultrasound was poor. If you have to choose, I would go with transvaginal.

I was advised to do it at the end of my bleed

[bombsh3ll]

A transvaginal scan is the gold standard.

However if this is not possible for you due to anatomical reasons or history of sexual trauma etc then an external scan is good enough in most cases, especially if you are slim.

I have vaginal stenosis so there's no way to pass an ultrasound probe, and my external scans have always provided perfectly clear images.

[Turkish delight]

This is great,

Thanks to you all for sharing and for helping me today. 

XXXX

[CrispyChick]

I had both in my well woman pelvic scan. Was it you I put onto ultrasound direct?

That's what it was called. Pelvic scan - well woman.

[Turkish delight]

I had both in my well woman pelvic scan. Was it you I put onto ultrasound direct?

That's what it was called. Pelvic scan - well woman.

Hia,

Yes it's me 

I'm thinking of doing it soon, after my next bleed. Is 4mm the goal for the thickness?
I mean I can tell my endo that its goal is under 4mm but I don't think it has ears so it won't be listening hehe!

TD

[bombsh3ll]

If you are still having either periods or artificial withdrawal bleeds on hormone therapy a higher endometrial thickness is acceptable.

4mm is used as a guide for investigating postmenopausal women, generally those who have presented with abnormal bleeding.

[Turkish delight]

If you are still having either periods or artificial withdrawal bleeds on hormone therapy a higher endometrial thickness is acceptable.

4mm is used as a guide for investigating postmenopausal women, generally those who have presented with abnormal bleeding.

Ah that's interesting, I never knew that.

So what would be an acceptable figure for someone who s having a regular monthly bleed?

I haven't had any issues or breakthrough bleeds but thought I ought to check as I'm on a higher-than-licensed estrogen dose.

I wonder if anyone is here from France or Belgium and can confirm that they do not have any limit on estrogel pumps like UK does.
It is on LN website and I have read ppl on here having mentioned it I think.

TD

[bombsh3ll]

There's no clear guideline for a cut off in asymptomatic premenopausal women or those on hormone therapy.

Values of up to 14mm are considered normal within a menstrual cycle, however most scans are read without knowing where the patient was in her cycle.

Various values from 7 to 11 have been suggested for asymptomatic women on HRT, for example within my health board up to 8mm is considered acceptable.

If you have the scan just after your bleed, I'd be hoping for the lower end of this.

[Turkish delight]

 Hi Gals,

I hope you all had a good weekend.

So I had my private scan, and went with the £145 well-woman pelvic scan. WE couldn't find the damn clinic for ages as well secluded and I was busting for the loo having had the pint of water for US. Anyway she didn't even attempt to do the US, reception said straight away..."no we prefer to do only TV".

I didn't have any reason to get the scan, no unscheduled bleeding, etc. I just thought it was time, as I realised it had been four years since my first one.

They found a 14mm submucosal focal fibroid encroaching on endo space and endo was 7.9mm 10 days into my cycle.

Has anyone else had a similar result? How worried should I be?
Looking online the fibroid doesn't seem a big deal.

I'm going to dial down my estrogen as it's been creeping up I'm already taking 14 days 200mg utro vaginally so not sure whether to increase that?

Any advice would be very much appreciated.

TD