Abnormalities of the Endometrium.

Hi guys, I am back again with another Post. This time I am covering Abnormalities of the Endometrial cavity, and this is in preparation for a series I’m creating called,” ON THE WAY TO GET PREGNANT”. The abnormalities on the Uterine cavity are crucial on the process of getting pregnant because of possible Miscarriages or Infertility.

The last post I covered Fibroids and we spoke about Submucosal fibroids. This can be a cause for miscarriages or infertility on the first trimester. I will link that post down below for you.

All you need to know about Fibroids.

OK so we start on the new topic here:

Abnormalities of the Endometrium.


  • Benign Endometrial polyps.

Benign endometrial polyps occur in about 10% of women and they may cause significant vaginal bleeding. These polyps contain Endometrial glands, Fibrous stroma, and Blood vessels and they may be sessile or pedunculated, they may be small or large in size.

img_2459      Endometrial Polyp within the cavity.

Endometrial polyps are most often Benign as mention before however they may be cancerous or develop into cancer if they are not treated, Hormonal factors play a role in polyps, Polyps can affect all women but are more frequent on women between the age of 40 to 55.

Most polyps Should be removed because of the small risk of cancer, They can be removed by a procedure called Hysteroscopy or Dilatation and curettage ( D & C) where a Biopsy is also done to Rule out Malignancy.

To have a better assessment on small endometrial polyps and/or small submucosal Fibroids most of the time a Sonohystogram is ordered to make a clear diagnosis.

img_2458       Sonohystogram is the procedure where through a thin catheter Saline Solution is injected into the cavity to open it up, so everything is clearly evaluated.


Big polyp within the cavity.

img_2467 Blood flow within the polyp, this is known as the Polyp Feeding Vessel.

OK so for my Postmenopausal Followers here are 2 other Endometrial Abnormalities to be aware of.

Endometrial Hyperplasia:


Thick Heterogeneous endometrial cavity with cystic changes inside.

Endometrial Hyperplasia is Often related to chronic Estrogen Stimulation, On Ultrasound is seen as Thick Endometrial cavity with Cystic changes.

Abnormal symptoms: Premenopausal, perimenopausal or Postmenopausal women with Abnormal Vaginal Bleeding and thick endometrial cavity measuring 0.5 cm or more. An Endometrial Biopsy is required for confirming the diagnosis.

And Last but certainly not least Endometrial carcinoma.


Most Adenocarcinomas of the Endometrium ( 90% ) arise in postmenopausal women. It is the most common Gynecological malignancy in North America.

Ultrasound Findings are A thick endometrial cavity measuring 0.5 cm or more and Increased Blood Flow within the cavity , a biopsy is required to confirm the diagnosis.

So this is the summary of Endometrial Abnormalities, Next post we will talk about Most common types of Ovarian cysts, leave a comment below if you have any question, Thank you very much if you stay until the end and I hope you enjoy.

Zadi XO.

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Hi, welcome to my site, I am Zadi, ultrasound tech and mom of 2 boys. Being a mother is one of the most beautiful things that have happened to me, but motherhood can be frustrating and difficult sometimes. I am sure any mom can relate to this. With this blog, I want to help you navigate the stages of pregnancy and parenting gracefully, by sharing my medical knowledge and my experience as a mom with you.

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