Conversation: The conversation between human and AI assistant.
[|Human|] Hi, last June I had my right ovary & fallopian tube removed due to suspicious looking mass on my ovary.  Thank god after the removal and biopsy, no CA.  This January was my last menses cycle and I was having menopausal symptoms, so I went to my doctor about a month ago and my FSH test came back that I am in menopause.  This past Tuesday I had a tranvaginal ultra sound and my uterine lining is 16.6 mm, and I have a cyst on my left ovary.  My doctor was concerned for both since my blood work came back that I am in menopause, and this is unusual for the cyst and thickness.  I am scheduled for an D&C, plus biopsy in two weeks.  I am of course concerned that this is CA, but everything I read states you bleed if you have uterine cancer, and I have not had any bleeding since January.  Can you shed some light on why this is happening during this time in my life?
[|AI|]  Hi, Thanks for writing in. Your doctor is right in recommending you a D and C followed by biopsy. Any abnormal vaginal bleeding must be evaluated in detail considering your age and ultrasound scan findings that you are having. A 16.6 mm thickness of endometrium is increased and this can indicate abnormal cells, hormonal imbalance or polyp in the endometrial cavity. A polyp is less likely as it is not mentioned in your transvaginal ultrasound scan report. It will help to know if there is a history of gynecological cancer in your family and if you have been taking hormone pills in the past. In most cases this bleeding is due to benign causes and called dysfunctional uterine bleeding. The cyst in left ovary if smaller than 2.5 cm is not a serious concern. If it is a complex cyst then your doctor might ask for CA 125 level to be done. Please do not worry.