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[Me]

Hello all - I am driving myself nuts trying to find the answer to what should be a really simple question:  what is considered a normal womb lining thickness DURING perimenopause when periods are already becoming erratic and unpredictable??  ALL google search results refer only to pre menopausal and post menopausal!  As if the turbulent years before the final period doesn't actually exist.
Anyone know or had experience of this?

[CLKD]

It never crossed my mind that there might be a problem.  My periods waxed and waned for several years: at least the excruciating pains and flooding disappeared. Some months were as expected, then they disappeared for months  . What has led you to worry?

[Me]

my impending hysteroscopy which, I don't think I need.

[CLKD]

Sorry have U mentioned this elsewhere  if so sorry 

If U don't think that you need it, cancel the appt.?

[sheila99]

It depends where you are in your cycle but it's a bit pointless unless it's immediately after a bleed when it's at it's thinnest. Just before a bleed it can be 18mm even without hrt. Sometimes in peri you can get huge spikes of oestrogen which presumably results in a thicker lining until it's shed. If you're going for a hysteroscopy have you already had a scan for thickness? Beware the age related panic if you're over 54 but not menopausal (there seems to be a textbook somewhere in the nhs that says everyone is meno by 54 even though some aren't unt their early 60s).

[Me]

Hi, thanks for taking the time to reply.  In perimenopause I thought that there isn't a 'cycle'.  I certainly haven't had a predictable 'cycle' for nearly 3 years.
I had a TVS which showed 5mm after some unusual bleeding at the 11 month mark.  That's calendar months, not missed cycles based on what I used to be which was about 24 ish days in length, that would be more like 13 months.  Anyway, I was a the GP for something else and while waiting for another GP to OK a repeat prescription I brought the bleeding up and asked if I should reset my menopause clock and before I knew it I was booked in for a scan and referred to gynaecology.  A massive over reaction in my opinion.
I've been on Evorel Conti since Autumn/Winter of 2023, roughly.  I think my periods disappeared and then came back in January 2024 and then I remember posting about a very long one.  Then I think nothing until recently, prompting the question to the GP about resetting the clock.
The sonographer said it was nice and normal and then I had an appointment with the GP who said it isn't and should be less than 5mm. 
I am very depressed at the moment and would like to increase my hrt but they actually almost refused my repeat prescription for the patches because of all of this.  I had to make yet another appointment to hash it out with them.  I am starting a new job tomorrow afte 6 months in a job that I absolutely hated and has really dented my confidence.  I should be looking forward to it but everything seems to be closing in on me.  I feel a total lack of interest in anything and in addition to something going wrong with my hormones the hospital appointments are sending me over the edge.  I already have a long term condition and medication which requires monitoring and related appointments for physiotherapy and treatment on my feet.  I am terrified that all this will be so much on my mind that i will just screw everything up in my new job which for me is basically a dream opportunity.  I don't want the first thing I discuss with my manager to be a string of hospital appointments I need to take off time for.  My mother had womb cancer.  I am not sure which kind, but she had polyps removed in her 40s so I assume that it was a type 2.  So even though I think it is all so unnecessary I also feel that this idea has been put in my head and I can't shake it off.  I would like more information about mm in endometrium.  I understand that on CCHRT the lining should be normal or thin, so I concede that this is perhaps not normal, but if I am in perimenopause which is difficult to establish, then surely it can be thicker at times? Even in the absence of a 'regular cycle'?