Is curettage for endometrial thickening good?

Some women do not have any obvious abnormalities in their bodies at normal times, but when menstruation comes, they will feel that the period is prolonged and the amount of bleeding increases, and the menstruation is difficult to stop for a long time. This may be caused by thickening of the endometrium. They should go to the hospital for relevant examinations in time. If necessary, curettage is required. The following editor will introduce the method of curettage for treating endometrial thickening.

Normally, the endometrium undergoes cyclic changes under the influence of ovarian hormones. During pregnancy, under the action of ovarian sex hormones, the endometrium thickens, providing good conditions for the implantation of the fertilized egg and the growth and development of the embryo. Therefore, the endometrium is an indispensable and important link in the process of conception. Endometrial biopsy is performed to understand whether the ovaries of infertile women ovulate, whether the changes in the endometrium are normal and its response to sex hormones. It can also indirectly reflect the corpus luteum function of the ovaries and help diagnose endometrial diseases (such as tuberculosis, inflammation, polyps, endometrial fibrosis, etc.).

The most commonly used examination method is diagnostic curettage, in which the scraped endometrium is subjected to pathological examination. Dr. Wang said that under normal circumstances, the pathology report may have the following situations:

1. Normal: The results show that the tissue obtained is proliferative and secretory endometrium.

2. Anovulatory menstruation: The endometrium only shows proliferative changes of varying degrees, such as endometrial cystic hyperplasia, endometrial adenomatous hyperplasia, proliferative endometrium, and atrophic endometrium.

3. Ovulatory menstrual disorders: Depending on the cause of the menstrual disorder, the results of the pathological examination will also be different. For example, menstrual disorders caused by luteal insufficiency show insufficient secretion of endometrial glands and asynchrony between the glands and stroma; menstrual disorders caused by irregular endometrial shedding show endometrial water loss, dense stroma, gland atrophy, and a mixture of secretory and proliferative endometrium.

4. Abortion: The scrapings may contain decidual tissue and placental villi.

5. Hydatidiform mole, choriocarcinoma: The trophoblastic cells of the placental villi in the uterus grow in a tumorous manner with varying degrees of proliferation.

6. Endometrial cancer: The endometrial glands proliferate highly and the cells mutate.

Diagnostic curettage should be performed before menstruation or within 12 hours of menstruation to determine ovarian function. At this time, the endometrium is thicker, making it easier to detect endometrial lesions such as tuberculosis. Therefore, for patients with infertility, endometrial examination should be performed when necessary.

Therefore, if female friends feel that the menstrual volume is abnormal, they should go to the hospital for curettage examination and treatment in time. During menstruation, try not to use cold water and pay more attention to your diet. Try to eat less raw, cold and irritating foods. It is best not to engage in strenuous exercise or heavy physical labor.