Detect endometrial pathology early
Endometrial assessment can identify polyps, hyperplasia, submucous fibroids, and other conditions that cause bleeding and affect fertility – often before symptoms become severe.
Endometrial assessment is a specialised ultrasound evaluation of the endometrial lining – the inner layer of the uterus that thickens and sheds during the menstrual cycle. It measures the thickness, echogenicity, and pattern of the endometrium, and identifies abnormalities such as polyps, hyperplasia, fibroids, and malignancy. This assessment is critical for women with abnormal uterine bleeding, infertility, and those at risk of endometrial cancer.
The endometrium changes predictably throughout the menstrual cycle and in response to hormones. Accurate assessment helps diagnose conditions like endometrial hyperplasia, polyps, submucous fibroids, and endometrial cancer. It is typically performed via transvaginal ultrasound, which provides the highest resolution images of the endometrial stripe.
At Amytri, our endometrial assessments are performed by experienced consultant radiologists using state‑of‑the‑art transvaginal ultrasound. We measure endometrial thickness, assess its texture, and evaluate for focal lesions. When indicated, we may recommend saline infusion sonography (SIS) for further evaluation of the uterine cavity. We provide a clear report and compassionate support, guiding you through the results and any necessary next steps.
Accurate endometrial assessment helps detect conditions early, enabling timely treatment and preserving reproductive health.
Endometrial assessment can identify polyps, hyperplasia, submucous fibroids, and other conditions that cause bleeding and affect fertility – often before symptoms become severe.
Endometrial thickness and pattern are critical for embryo implantation. Assessment helps optimise the timing of fertility treatments and diagnose conditions that interfere with implantation.
Endometrial assessment helps target biopsy sites, reducing the need for blind sampling and improving diagnostic accuracy.
We use transvaginal ultrasound to obtain the highest resolution images of the endometrium, measuring and characterising it in detail.
We measure the maximum thickness of the endometrium in the sagittal plane. Normal values vary with cycle phase and menopausal status. A thickened endometrium may indicate hyperplasia or malignancy.
We assess whether the endometrium is homogeneous, heterogeneous, or contains cystic spaces. A hyperechoic or inhomogeneous pattern may indicate polyps, hyperplasia, or other pathology.
We identify and characterise focal lesions – such as polyps (hyperechoic, with a stalk), submucous fibroids (hypoechoic, with shadowing), or intrauterine adhesions.
We evaluate the junction between the endometrium and myometrium – a smooth, well‑defined line is normal; irregularity may indicate invasion (in malignancy) or adenomyosis.
If a focal lesion is suspected, we may perform SIS – infusing sterile saline into the uterine cavity to distend it, providing a clearer view of polyps, fibroids, and adhesions.
We correlate the findings with your menstrual cycle phase – ensuring that the thickness and pattern are appropriate for the timing, and avoiding false positives.
For transvaginal ultrasound, we ask you to empty your bladder. For the best assessment, we recommend timing the scan between days 5‑12 of your menstrual cycle (or after any bleeding has stopped).
We perform a transvaginal ultrasound, measuring the endometrial thickness in the sagittal plane and assessing its texture and any focal lesions. If indicated, we may perform SIS for enhanced visualisation.
We compare your endometrial thickness with age‑ and cycle‑appropriate reference ranges. We evaluate for any abnormalities and provide a detailed, actionable report.
We discuss the results with you. If abnormalities are found, we recommend further steps – which may include endometrial biopsy, hysteroscopy, or referral to a gynaecologist.
It is a key investigation for women experiencing abnormal bleeding, infertility, or with risk factors for endometrial pathology.
Heavy, prolonged, inter‑menstrual, or post‑menopausal bleeding – endometrial assessment is essential to rule out polyps, hyperplasia, or malignancy.
Endometrial thickness and pattern are critical for embryo implantation. Assessment helps identify polyps, adhesions, or insufficient thickness.
Any bleeding after menopause requires urgent evaluation. Endometrial thickness >4‑5 mm warrants further investigation (biopsy).
Women on tamoxifen or hormone replacement therapy are at increased risk of endometrial changes – regular assessment is recommended.
Obesity increases the risk of endometrial hyperplasia and cancer – assessment is advised for symptomatic women.
If a routine pelvic ultrasound shows a thickened endometrium or focal lesion, a targeted assessment provides definitive characterisation.
Dr. Abhishek has extensive experience in gynaecological ultrasound, with a special interest in endometrial assessment and fertility imaging. He is skilled in both standard transvaginal ultrasound and saline infusion sonography, providing accurate diagnoses that guide effective treatment.
Endometrial assessment is often performed for fertility evaluation – having your partner with you provides support and shared understanding.
We welcome partners to be present during the scan. We ensure your privacy and comfort, and we explain the findings so both of you understand the results. Your partner's presence can be especially helpful when discussing fertility implications.
Endometrial assessment is a focused ultrasound evaluation of the endometrial lining – measuring thickness, echogenicity, and detecting polyps, hyperplasia, fibroids, or other abnormalities.
It is usually performed via transvaginal ultrasound, which provides the highest resolution images. In some cases, saline infusion sonography (SIS) is used to distend the uterine cavity for better visualisation.
The transvaginal ultrasound may be slightly uncomfortable but is not painful. SIS involves instilling saline into the uterus, which may cause mild cramping – but this is temporary and well‑tolerated.
For pre‑menopausal women, the optimal timing is days 5‑12 of the menstrual cycle (or after bleeding stops). For post‑menopausal women, it can be performed at any time. Your doctor will advise the best timing for your indication.
A thickened endometrium may indicate normal cyclic changes, but it can also be due to polyps, hyperplasia, or malignancy. The interpretation depends on your menopausal status, cycle phase, and symptoms. Further evaluation (biopsy) may be recommended.
No referral is required. You can book directly. However, if you are under the care of a gynaecologist, we will share the report with them for continued management.
From your baby's very first heartbeat to your family's lifelong health — we're here with precision, expertise and care. Reserve your appointment in under a minute.