Is a 0.86 cm Endometrial Thickness Normal on Day 18 of Menstrual Cycle? - Obstetrics and Gynecology

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Endometrial thickness


Is it normal for the endometrial thickness to be 0.86 cm on day 18 of the menstrual cycle during an abdominal ultrasound? Thank you.

Ting Ting, 20~29 year old female. Ask Date: 2016/01/27

Dr. Cao Guotao reply Obstetrics and Gynecology


Hello, you should be fine.
If the transabdominal ultrasound shows an endometrial thickness of 1.3 cm, that would be considered too thick for the endometrium.
Wishing you good health.

Reply Date: 2016/01/27

More Info


The endometrial thickness of 0.86 cm (or 8.6 mm) on day 18 of the menstrual cycle can be considered within the normal range, depending on various factors such as the phase of the menstrual cycle, hormonal influences, and individual variations.
During the menstrual cycle, the endometrium undergoes significant changes in response to hormonal fluctuations, primarily driven by estrogen and progesterone. In the follicular phase (which includes days 1 to approximately 14), the endometrium thickens as it prepares for potential implantation of a fertilized egg. By ovulation (around day 14), the endometrial lining typically reaches its peak thickness, often ranging from 8 to 14 mm. After ovulation, during the luteal phase (approximately days 15 to 28), the endometrium continues to thicken slightly due to progesterone, but it may also begin to prepare for shedding if pregnancy does not occur.

On day 18, which falls within the luteal phase, an endometrial thickness of 0.86 cm is generally considered normal. It indicates that the endometrium is responding appropriately to hormonal signals. However, it is essential to consider that the "normal" range can vary among individuals based on their unique hormonal profiles and reproductive health.

If there are concerns regarding menstrual irregularities, abnormal bleeding, or other symptoms, it may be beneficial to discuss these with a healthcare provider. They may recommend additional evaluations, such as hormonal assessments or imaging studies, to ensure that the endometrial lining is healthy and functioning correctly.

In summary, a 0.86 cm endometrial thickness on day 18 of the menstrual cycle is typically normal. However, individual variations exist, and any concerns should be addressed with a healthcare professional who can provide personalized insights based on a comprehensive evaluation of your health history and current symptoms.

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