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[Violetta808]

Hi Turkish Delight

Small submucosal fibroids like yours are really common (I have several). The measurement of the actual endometrium is a bit inexact as if there is a fibroid or polyp in the way it can give a falsely thick ultrasound reading (this happened to me recently). But your figures seem normal if you’re still peri and having a cycle.

It’s not really the sonographer’s job/paygrade to deliver results but she wouldn’t have said a word if she’d found anything remotely worrying so that’s a good sign at least. They usually just keep schtum and say see your GP to discuss the results. Sounds like she’d got out of the wrong side of the bed though!

[SundayGirl]

To be fair, if I'd paid for a scan that's all I would have expected. I wouldn't have expected a consultation.

It's good really that sonographers don't try to interpret anything. As it's not their job and they haven't been trained to do it, they could get things catastrophically wrong.

Having said that, it seems like she could do with a refresher course on bedside manners.

[Turkish delight]

Hi Turkish Delight

Small submucosal fibroids like yours are really common (I have several). The measurement of the actual endometrium is a bit inexact as if there is a fibroid or polyp in the way it can give a falsely thick ultrasound reading (this happened to me recently). But your figures seem normal if you’re still peri and having a cycle.

It’s not really the sonographer’s job/paygrade to deliver results but she wouldn’t have said a word if she’d found anything remotely worrying so that’s a good sign at least. They usually just keep schtum and say see your GP to discuss the results. Sounds like she’d got out of the wrong side of the bed though!

Violeta hi,

Thank you so much for sharing that info. It actually all makes a lot of sense and is obvious now you say it.
Both that endo measurement may be off, and that she wouldn't have said anything about findings, but instead she was certain and categoric in saying it was a submucosal fibroid and repeated that saying it a few times.

Forgive me and ignore if it's not too personal to ask, but did you have yours removed? Did you find out the actual endo thickness or no?

Thanks again!

TD

[Turkish delight]

To be fair, if I'd paid for a scan that's all I would have expected. I wouldn't have expected a consultation.

It's good really that sonographers don't try to interpret anything. As it's not their job and they haven't been trained to do it, they could get things catastrophically wrong.

Having said that, it seems like she could do with a refresher course on bedside manners.

I do agree

[Violetta808]

Hi TD - not too personal at all! I’ve had two separate adventures with fibroids...

Ten years ago when I was still having periods I had a single 5cm submucosal fibroid removed because it was causing very heavy, long and irregular bleeds. It was a very straightforward procedure and totally worth it because it really helped.

Then last year, three years post meno, I started on HRT (Everol Conti) and began bleeding again. Turned out I had three new submucosal fibroids, 2-3cm or less. They’d grown in the intervening years but had been asymptomatic until the oestrogen in the HRT woke them up.

The initial ultrasound appeared to show a 13.5mm endometrium, which would be quite abnormal for post-meno (and it didn’t pick up on the fibroids), but it turned out to be a false reading due to everything getting squashed up. It was really worrying at the time though.

When I had the hysteroscopy and biopsy to investigate further they found the fibroids and a normal ‘very thin’ (in the words of the gynae) post-meno endometrium, though they didn't give an actual figure. Ironically they considered it too thin and delicate for surgery to remove the fibroids (especially as there are three). But I am now taking a different HRT that doesn’t cause bleeding so all is well and I’m not planning any further interventions.

I wouldn’t consider fibroid removal unless it’s causing symptoms that can’t be resolved in other ways, and normal endo thickness varies widely depending on where you are in your reproductive life and cycle. The important thing is whether it looks smooth and normal, which I think they can pick up on ultrasound.

[Turkish delight]

Thank you Violetta that's really helpful.

Mine seems a fair bit larger than yours at 14mm but that said I haven't had any unusual bleeding. Oh actually mine aren't larger as I was talking mm's and you were talking cm's.

I just don't know whether to trust the endo measurement now though, which puts me in the dark again,
and in the same position I started in. I am 57 so post meno I imagine but on a cyclical regeme so have only shedual bleeds as normal.

I will obv go to GP and see what they will suggest.

Thanks again!

TD