Will endometrial thickening cause menopause?

The uterus is very important for women because it has a great relationship with the female reproductive system. After all, children grow in the uterus. For various reasons, a woman's uterus may have problems or even suffer from serious diseases. Among all uterine diseases, endometrial thickening is also relatively common. So for such patients, will menstruation stop?

The thickness of a woman's endometrium changes with the menstrual cycle. Generally speaking, the normal thickness of the endometrium is between 2mm and 10mm. It is thickest during ovulation and falls off during menstruation, leaving only the basal layer. Currently, most people believe that an endometrial thickness of 8mm-10mm is more suitable for conception. However, due to different physical conditions, the standard thickness of the endometrium is different for each woman. It is recommended to do a vaginal B-ultrasound three days after the menstruation ends to understand the specific thickness of the endometrium. If the endometrium is thick, menstruation is prone to dysmenorrhea and the fertilized egg is difficult to implant. If the endometrium is too thin, it can easily cause scanty menstruation and even affect ovulation.

The reason why women have menstruation is actually the periodic shedding of the endometrium. When the shedding of the endometrium is hindered due to various reasons, women will experience amenorrhea or menstrual disorders, which require treatment.

The excessive thickness of the endometrium is not the cause of amenorrhea. On the contrary, it is because women have not had their menstruation for a long time, which means that the endometrium cannot be shed normally, which leads to amenorrhea. Amenorrhea causes a woman's uterine lining to become too thick.

If a woman has a thick endometrium and amenorrhea, she should choose a regular hospital and receive treatment with oral blood-activating and blood-stasis-removing drugs and a uterine curettage. Otherwise, it is easy to develop endometrial cancer and affect the woman's life and health.

Treatment for endometrial thickening

There are usually two ways to treat endometrial thickening, namely surgical treatment and drug treatment.

However, the treatment of any disease cannot be one-size-fits-all, and appropriate measures should be taken according to the specific circumstances of each patient. Doctors point out that the following typical types of endometrial hyperplasia are common and require a combination of surgery and medication for treatment.

1. For young patients. Irregular bleeding in young patients is mostly anovulatory functional uterine bleeding. Endometrial hyperplasia inhibits the normal discharge of eggs. Therefore, when young women find this disease, they should go to the hospital for basal body temperature testing. If it is confirmed to be monophasic anovulation, ovulation induction treatment can be used.

2. For patients in the menopause period. Patients with endometrial hyperplasia during the menopausal transition period also suffer from anovulatory functional uterine bleeding, and curettage can be used to stop bleeding. If symptoms such as infrequent menstruation, prolonged bleeding and heavy bleeding occur after the operation, three cycles of progesterone treatment every two months are required, followed by follow-up observation.

3. For patients in reproductive period. Most patients with genital bleeding can stop bleeding after a one-time curettage. If bleeding still occurs after surgery, hysteroscopy and B

Ultrasound examination was performed to exclude submucosal myoma or other organic lesions. If the patient's clinical manifestations are anovulatory PCOS, they should be treated as PCOS.

4. For patients in late menopause. Simple estrogen replacement therapy can be used. If a curettage is required, the replacement therapy can be suspended or progestin can be added after the operation.