Endometrial thickness
Updates to Article Attributes
The endometrialEndometrial thickness is a commonly measured parameter on routine gynaecological ultrasound and MR imaging. The appearance as well as the thickness of the endometrium will depend uponon whether the patient is of reproductive age or post-menopausal and if of reproductive age, at what point in the menstrual cycle they are examined.
Radiographic assessment
Ultrasound (trans-vaginal)
The endometrium should be measured in the long-axis or sagittal plane. The measurement is of the thickest echogenic area from one basal endometrial interface across the endometrial canal to the other basal endometrium. Care should be taken not to include the hypo-echoic myometrium in this measurement.
ValuesNormal range
Commonly accepted trans-vaginal ultrasound values are as follows.
Pre menopausal
In pre menopausal patients it significantly varies according to the stage of the menstrual cycle.
- during menstruation 1,4 : 2 - 4 mm
- early proliferative phase (day 6-14 ) : 5-7 mm
- late proliferative - pre ovulatory phase : up to 11 mm
- secretory phase : 7-16 mm
- following dilatation and curettage or spontaneous abortion : < 5 mm
: If higher be suspicious of- if it is thicker consider retained products of conception.
Post menopausal
Will depend on the use of use of hormonal therapy / Tamoxifen
- if on no medication 5 : < 5 mm
- if there is vaginal bleeding, the risk of carcinoma is ~ 7% if endometrium is > 5 mm 8
- if there is no bleeding, the risk of carcinoma is ~ 7% if the endometrium is > 11 mm 8
- if on hormonal therapy 6 : 8-15 mm upper limit
- if on Tamoxifen 3 : < 6 mm (although ~ 50% of those receiving Tamoxifen have been reported to have thickness of > 8 mm 7)
See also
-<p>The <strong>endometrial thickness</strong> is a commonly measured parameter on routine gynaecological ultrasound and MR imaging. The appearance as well as the thickness of the endometrium will depend upon whether the patient is of reproductive age or post-menopausal and if of reproductive age, at what point in the menstrual cycle they are examined.</p><h4>Radiographic assessment</h4><h5>Ultrasound (trans-vaginal)</h5><p>The endometrium should be measured in the long-axis or sagittal plane. The measurement is of the thickest echogenic area from one basal endometrial interface across the endometrial canal to the other basal endometrium. Care should be taken not to include the hypo-echoic myometrium in this measurement.</p><h4>Values</h4><p>Commonly accepted trans-vaginal ultrasound values are as follows</p><h5>Pre menopausal</h5><p>In pre menopausal patients it significantly varies according to the stage of the menstrual cycle.</p><ul>- +<p><strong>Endometrial thickness</strong> is a commonly measured parameter on routine gynaecological ultrasound and MR imaging. The appearance as well as the thickness of the endometrium will depend on whether the patient is of reproductive age or post-menopausal and if of reproductive age, at what point in the menstrual cycle they are examined.</p><h4>Radiographic assessment</h4><h5>Ultrasound (trans-vaginal)</h5><p>The endometrium should be measured in the long-axis or sagittal plane. The measurement is of the thickest echogenic area from one basal endometrial interface across the endometrial canal to the other basal endometrium. Care should be taken not to include the hypo-echoic myometrium in this measurement.</p><h4>Normal range</h4><p>Commonly accepted trans-vaginal ultrasound values are as follows.</p><h5>Pre menopausal</h5><p>In pre menopausal patients it significantly varies according to the stage of the menstrual cycle.</p><ul>
-<li>following dilatation and curettage or spontaneous abortion : < <strong>5 </strong>mm : If higher be suspicious of <a href="/articles/retained-products-of-conception">retained products of conception</a>.</li>- +<li>following dilatation and curettage or spontaneous abortion : < <strong>5 </strong>mm - if it is thicker consider <a href="/articles/retained-products-of-conception">retained products of conception</a>.</li>