'Rough' appearance of endometrium in Hysteroscopy

[Clementinedam]

I had a hysteroscopy last week. When the image appeared on the screen the nurse asked me if I took the pill (which I don't) and after told me that the cavity of uterus looked fine but that my endometrium had a rough appearance. When I got back home I checked for hysteroscopy images and saw that my hysteroscopy was very different than the one that showed a smooth endometrium. The biopsy didn't show sign of infection. I asked my doctor if I should be worried about the appearance of my endometrium and he told me that there is no scientific evidence that the appearance shows sign of microscopic pathology.

"In the literature, there is no association between macroscopic appearance and microscopic pathology. Sometimes we have the tendency to assess based on subjective mucosa, but sometimes that is not correct at all."

I still wonder what is wrong with my endometrium and why does it looks different. I am only left with 2 embryos grade B and really do not want to loose them. Should I drink more? Is there anything I should do to smoothen my endometrium. Is it link to my POF condition, my age (40)?

[Purpledoggy]

Did the nurse take into account the stage of your cycle? The endometrium appears very different depending on how close you are to ovulation versus post-ovulation. My second hysteroscopy was a few days before ovulation and it was extremely fluffy, which I was a bit horrified by seeing it on the screen as it was also irregularly coloured with red areas, but the consultant said was completely normal based on my cycle stage, which was confirmed by the biopsy she took. I am a little surprised a nurse would do a hysteroscopy if I am honest but you should at least be given the option to discuss the findings with a gynaecologist. xx

[Clementinedam in reply to Purpledoggy]

Fluffy is indeed the description of what I saw, probably due to hormonal imbalance which could be fixed with medication prior to FET.

[Purpledoggy in reply to Clementinedam]

Was the hysteroscopy during your luteal/secretory phase then? As if during follicular/proliferative (ie prior to ovulation) this would be a normal finding. xx

[Clementinedam in reply to Purpledoggy]

it was before ovulation. Only 8 days within the cycle

[Purpledoggy in reply to Clementinedam]

Ah saw your below comment. Weird he says lack of oestrogen (oestrogen is what makes it fluffy) but everything should be smoothed out during the FET anyway xx

[DianeArnold Partner Nurse Fertility Network UK]

Hi Clementinedam. Could it be due to oestrogen/progesterone imbalance? Sometimes polyps can appear as irregular bumps in the lining. You need to discuss this further with your specialist. Good luck! Diane

[Clementinedam in reply to DianeArnold]

Thanks Diane! Indeed, hormonal imbalance. It is strange that I couldn't find any of these imageries on the web. On the web, Irregular lining always refers to chronic endometrite and no other condition.

[DianeArnold Partner Nurse Fertility Network UK in reply to Clementinedam]

Hi. See if you can find polyps that look like bumps. Diane

[Clementinedam]

Hi both and thanks for your feedback. I did some investigation and harassed my doctor with questions and he reinsured me saying that this appearance is probably due to lack of oestrogen but the that the oestrogen medication treatment prior to FET should fix that. At least, there are some answers now.

[Positivechangeplease]

I’ve heard that drinking a pint of full cream milk can help build the womb lining. Pomegranate juice too