Endometrial Calcification: Causes, Symptoms, and Treatment Options

Endometrial calcification

Hello Dr.
Lin,
I am a 31-year-old unmarried woman.
My menstrual cycles have been regular and on time in the past.
However, for the past six months, I have been experiencing difficulty with menstrual flow at the onset of my period.
I start feeling menstrual cramps two days before my period begins, and during the first to third days, I only have brown discharge with a small amount of blood.
It is not until the third or fourth day that the flow increases to a volume similar to what I would expect on the second day of a normal period.
I underwent a high-resolution ultrasound, and the doctor informed me that there is some calcification in a portion of my endometrium, suggesting it could be due to previous uterine injury or possibly the presence of polyps, although I have never been pregnant.
Currently, I am taking progesterone and will have further examinations after my next menstrual cycle.
I would like to ask if endometrial calcification can fully heal.
Is it possible that this condition is related to sexual activity? Additionally, how can I prevent this in the future? Thank you, doctor.

Chen Xin, 30~39 year old female. Ask Date: 2016/03/12

Dr. Lin Manying reply Obstetrics and Gynecology

The calcified points seen on the ultrasound are highly echogenic structures, which could potentially be endometrial polyps, inflammatory responses, or endometriosis as mentioned by the doctor.
You have already started treatment with progesterone, and after completing the course, you will return for a follow-up appointment and another ultrasound to clarify the diagnosis.

Reply Date: 2016/03/12

More Info

Endometrial calcification is a condition that can arise from various factors, including previous trauma to the uterus, chronic inflammation, or the presence of endometrial polyps. In your case, given your age and the symptoms you've described, it is essential to understand the potential causes, symptoms, and treatment options associated with this condition.

Causes of Endometrial Calcification
1. Previous Trauma or Surgery: If there has been any previous surgery on the uterus, such as a dilation and curettage (D&C) or myomectomy, it could lead to calcification. This is because the healing process may result in scar tissue formation, which can calcify over time.

2. Chronic Inflammation: Conditions such as endometriosis or chronic pelvic inflammatory disease can lead to inflammation of the endometrium, which may also result in calcification.

3. Endometrial Polyps: As noted in your ultrasound findings, if you have had polyps in the past, they can also contribute to changes in the endometrial tissue, potentially leading to calcification.

4. Hormonal Factors: Hormonal imbalances can affect the endometrium's health and structure, possibly leading to calcification.

Symptoms
The symptoms of endometrial calcification can vary. In many cases, individuals may not experience any symptoms at all. However, some common symptoms include:
- Irregular menstrual cycles
- Abnormal bleeding (such as the brown discharge you mentioned)
- Pelvic pain or discomfort, particularly during menstruation
- Difficulty conceiving, if applicable

Treatment Options
The treatment for endometrial calcification largely depends on the underlying cause and the severity of the symptoms. Here are some potential approaches:
1. Hormonal Therapy: Since you are currently taking progesterone (luteal support), this can help regulate your menstrual cycle and alleviate some symptoms. Hormonal treatments can help manage conditions like endometriosis or polyps.

2. Monitoring: In many cases, if the calcification is not causing significant symptoms or complications, your healthcare provider may recommend a watchful waiting approach, monitoring your condition over time.

3. Surgical Intervention: If the calcification is associated with significant symptoms or if there are concerns about the underlying cause (such as polyps or other abnormalities), a surgical procedure may be necessary. This could involve a hysteroscopy to remove polyps or other abnormal tissue.

4. Lifestyle Modifications: Maintaining a healthy lifestyle, including a balanced diet and regular exercise, can support overall reproductive health. Avoiding smoking and managing stress can also be beneficial.

Can Endometrial Calcification Heal Completely?
The potential for complete healing depends on the underlying cause of the calcification. If it is due to a reversible condition, such as a hormonal imbalance, addressing that issue may lead to improvement. However, if the calcification is a result of previous trauma or chronic conditions, it may not completely resolve but can be managed effectively with appropriate treatment.

Can Sexual Activity Cause Endometrial Calcification?
Sexual activity is generally not a direct cause of endometrial calcification. However, if there are underlying conditions such as infections or trauma related to sexual activity, these could potentially contribute to inflammation or other changes in the endometrium. It is essential to maintain open communication with your healthcare provider about any concerns related to sexual health and its impact on your reproductive system.

Prevention
While you cannot entirely prevent endometrial calcification, you can take steps to maintain your reproductive health:
- Regular gynecological check-ups to monitor your reproductive health.

- Promptly addressing any symptoms of pelvic pain or abnormal bleeding.

- Practicing safe sex to reduce the risk of sexually transmitted infections, which can lead to pelvic inflammatory disease.

In conclusion, while endometrial calcification can be concerning, understanding its causes and treatment options can help you manage your symptoms effectively. It is essential to follow up with your healthcare provider for further evaluation and to discuss any additional concerns you may have.

Similar Q&A

Understanding Uterine Adenomyosis: Size, Risks, and Treatment Options

Hello, I have a question on behalf of my family member. They had a hospital examination and their CA-125 level is as high as 204. After a gynecological examination, it seems to be a case of adenomyosis, with a size reaching 9 centimeters, which explains the significant abdominal ...

Dr. Zhang Kunmin reply Obstetrics and Gynecology
Hello, the explanation of adenomyosis is as follows: Adenomyosis is defined as the presence of endometrial tissue (including glands and stroma) growing into the muscular layer of the uterus, leading to uterine enlargement. This condition occurs in approximately 10-20% of women,...

Understanding Endometriosis, Uterine Polyps, and Hormonal Treatments

Hello Doctor: Here are my examination results from Hospital A: 2023/12/07 - uterus 8.02 x 6.35 x 5.72 cm, endometrium 2.08 cm, left ovary 3.60 x 4.34 cm, right ovary 3.48 x 2.98 cm; 2023/02/27 - uterus 6.05 x 5.83 x 5.67 cm, left ovary cyst 4.27 x 2.87 cm, right ovary cyst 3.86 x...

Dr. Chen Zhiyu reply Obstetrics and Gynecology
It is advisable to discuss with the original treating physician. Thank you.

Understanding Endometrial Hyperplasia: Symptoms, Treatment, and When to Seek Help

In September, the doctor confirmed menopause through a blood test. On December 15, menstruation returned with heavy flow, numerous blood clots, and prolonged duration. After delaying until December 30, a vaginal ultrasound was performed, revealing endometrial hyperplasia. The doc...

Dr. Cao Guotao reply Obstetrics and Gynecology
Hello, if an ultrasound shows thickening of the endometrium, I generally recommend that my patients undergo a pathological examination of the endometrium before considering any medication. Therefore, I suggest you consult your obstetrician-gynecologist or go to the hospital for f...

Understanding Endometrial Hyperplasia: Risks, Treatments, and Fertility Concerns

Hello, doctor. Last year (May 2015), I started seeing a physician due to irregular menstrual periods and was diagnosed with intrauterine adhesions. I underwent a hysteroscopic adhesiolysis and dilation and curettage (D&C). The pathology report indicated endometrial hyperplasi...

Dr. Cao Guotao reply Obstetrics and Gynecology
Hello, whether it is truly endometrial hyperplasia or not relies on the pathology report; the physician's diagnosis is merely a suspicion based on ultrasound findings. Hyperplasia and oocytes are two different matters and will not affect each other. Wishing you good health.