What should you know?
Endometrial thickness normally changes through the menstrual cycle and also depends on age, hormonal treatment and menopausal status. The measurement only has meaning in clinical context.
Female pelvic ultrasound evaluates the uterus, endometrium, ovaries and pelvic spaces. The transabdominal or transvaginal route is chosen according to age, symptoms and the clinical goal.
Common symptoms and signs
- Cycle day and last menstrual period
- Reproductive age or menopause
- Hormone therapy or tamoxifen
- Diffuse or focal thickening
Diagnosis and the role of ultrasound
Transvaginal scanning usually provides greater detail; transabdominal scanning offers a wider view and generally requires a full bladder. The radiologist measures organs, characterizes lesions and may assess blood flow.
- Uterine size and myometrium
- Endometrial thickness and contour
- Ovarian size, follicles and lesions
- Free fluid and Doppler findings
Ultrasound findings must be interpreted together with symptoms, examination and, when needed, laboratory or other imaging results. An image alone should not be used for self-diagnosis or self-treatment.
Treatment and next steps
Postmenopausal bleeding requires timely endometrial assessment; biopsy or hysteroscopy may be needed. Depending on the result, follow-up may be timed to the menstrual cycle and may include gynecology review, hormone tests, sonohysterography or MRI.
Management is individual and depends on age, symptoms, imaging findings, other health conditions and pregnancy plans. Medication or a procedure should be selected with the appropriate clinician.
When is urgent care needed?
- Sudden severe one-sided pelvic pain
- Heavy bleeding, dizziness or fainting
- A positive pregnancy test with pain or bleeding
Related reading
- Endometrial thickness — normal changes by age and menstrual cycle
- Bleeding after menopause — what is the role of ultrasound?
- Endometrial polyp — how can it appear on ultrasound?
When should you consult radiologist Lana Ezieshvili?
Radiologist Lana Ezieshvili performs targeted ultrasound examinations, describes findings using standard imaging criteria and explains the report in clear language.
If you have symptoms, a referral or need follow-up imaging, use the form below to book a visit with Lana Ezieshvili. Timely, appropriately selected imaging can reduce uncertainty and help determine the right next step.
This article is for education and does not replace medical advice. Seek urgent care for severe or rapidly worsening symptoms.