This video shows Endometrial Hyperplasia in a female 45 years old.
On pelvic ultrasound, endometrial hyperplasia is characterized by a homogeneous increase in the endometrial thickness in the majority of patients. However, endometrial hyperplasia may also cause asymmetric or focal thickening with surface irregularity which should raise suspicion of malignancy.
Biopsy of the uterine lining is the definitive test for the diagnosis of hyperplasia. Women with abnormal bleeding should be evaluated with a pelvic ultrasound. In postmenopausal women, ultrasound is used to assess the thickness of the lining.
Endometrial hyperplasia is a histological diagnosis often made after sampling an endometrium that appears thickened on pelvic ultrasound. It is defined as an irregular proliferation of endometrial glands with an increased ratio of the gland to the stroma.
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.
The normal value of Endometrial thickness:- During the period: is 2 to 4 mm. Early proliferative phase: is 5 to 7 mm. Late proliferative phase: Up to 11 mm. Secretory phase: Up to 16 mm.
Endometrial hyperplasia is a condition of the female reproductive system. The lining of the uterus (endometrium) becomes unusually thick because of having too many cells (hyperplasia). It's not cancer, but in particular women, it raises the risk of developing endometrial cancer, a type of uterine cancer.
The thickness of the endometrial lining is rarely over 4 mm in a woman past menopause. In premenopausal women, the thickness varies with the phase of the menstrual cycle, but the maximum thickness will be less than about 16 mm even in the secretory phase.
Women with an endometrial thickness between 7-8 mm had a decreased pregnancy rate, but no significant difference was shown when compared to patients with endometrial thickness of 8-14 mm. Implantation is necessary for a successful pregnancy and requires healthy endometrial receptivity
The endometrial hyperplasia has a cystic lace-like appearance on ultrasound. Endometrial polyps manifest as focal areas of endometrial thickening, and the stalk of the polyp may be seen if sufficient fluid is present in the endometrial cavity.
Endometrial hyperplasia is a condition in which the endometrium (the lining of the uterus) becomes abnormally thick. Although endometrial hyperplasia is not cancer, it can lead to uterine cancer in some women. Endometrial hyperplasia is usually caused by an excess of estrogen without progesterone (female hormones).
Ultrasound is often one of the first tests used to look at the uterus, ovaries, and fallopian tubes in women with possible gynecologic problems. Images from the TVUS can be used to see if the uterus contains a mass (tumor), or if the endometrium is thicker than usual, which can be a sign of endometrial cancer.
Endometrial hyperplasia is a noncancerous (benign) condition where the lining of the womb becomes thicker. There is a higher risk of developing womb cancer if a female has this thickening, especially if the extra lining cells are abnormal.
Among postmenopausal women with vaginal bleeding, an endometrial thickness of 5 mm or less is generally considered normal, while thicknesses more than 5 mm are considered abnormal.
The most common signs of excessive endometrial thickness include:
 Bleeding after menopause.
 Extremely heavy or long-lasting bleeding during menstruation.
 Irregular menstrual cycles that last less than 3 weeks or longer than 38 days.
 spotting between periods.
Atypical hyperplasia can turn into cancer in the womb. 20 years after diagnosis, around 28 out of every 100 women diagnosed with atypical hyperplasia will develop cancer of the womb.
Your doctor can perform an exam and tests to diagnose the primary condition. A transvaginal ultrasound measures the endometrium. A thick layer can indicate endometrial hyperplasia. A biopsy of the endometrium cells is taken to determine if cancer is present.
In one study, among women 18-90 years the overall incidence of endometrial hyperplasia was 133 per 100,000 woman-years, was most common in women ages 50-54, and was rarely observed in women under 30. Simple and complex hyperplasia incidences peaked in women ages 50-54.
Early warning signs of uterine cancer
 Unusual vaginal discharge that does not have signs of blood.
 Difficult or painful urination.
 Pain during intercourse.
 Pain and/or a mass in the pelvic area.
 Unintentional weight loss.