Uterus Ultrasound Normal Vs Endometrial Hyperplasia Images | Premenopausal & Postmenopausal Cases

Support the channel on Patreon: patreon.com/drsamsimaginglibrary Uterus Ultrasound Normal Vs Endometrial Hyperplasia Images | Premenopausal & Postmenopausal Cases Endometrial Hyperplasia: Main Symptoms Heavy menstrual bleeding (menorrhagia) Intermenstrual bleeding Irregular menstrual cycles Postmenopausal bleeding (most concerning in older women) Normal ET- Premenopausal: Menstrual phase (Days 1–4): 2–4 mm Early proliferative phase (Days 5–9): 5–7 mm Late proliferative/pre-ovulatory phase (Days 10–14): up to 11 mm Secretory phase (Days 15–28): 7–16 mm Normal ET: Postmenopausal: Not on hormone replacement therapy (HRT) Normal: ≤5 mm 5 mm may require evaluation (e.g., biopsy) especially if there is postmenopausal bleeding. On HRT: Normal: ≤8 mm, but varies depending on HRT type and regimen Endometrial Hyperplasia: Findings Abnormally thickened endometrium The endometrium may appear uniformly hyperechoic. Anechoic/hypoechoic cystic spaces Endometrial Contour is usually smooth and regular, but irregularity may raise concern for atypical hyperplasia or carcinoma. Typically, normal or mildly increased flow in simple hyperplasia.