What to do if the endometrium is always thick

When female friends have a physical examination, one of the items is to check the condition of the endometrium. The thickness of the endometrium will be marked in the physical examination report. After the doctor looks at it, he will also ask what stage the woman is in to understand whether the endometrium is normal. Some female friends are told by the doctor that their endometrium is a little thick every time they have a check-up. If they want to know what to do if their endometrium is always thick, they need to understand the causes of thick endometrium.

1. What are the causes of thick endometrium?

The causes of endometrial thickening can be divided into physiological and pathological. Abnormal endometrial hyperplasia often occurs during menopause or adolescence, and is more common in obese people. Under normal circumstances, the endometrium has a period of proliferation every month. If for some reason it is stimulated by estrogen for a long time, symptoms such as irregular vaginal bleeding will occur. Once symptoms of pathological endometrial thickening appear, you should seek medical attention promptly and receive standardized treatment for endometrial thickening.

Generally, the endometrium begins to thicken gradually from the 5th day of the menstrual cycle. On the 15th day after menstruation, under the action of progesterone secreted by the ovaries after ovulation, the already thickened endometrium continues to thicken, and the glands further increase in size and curvature, secreting mucus. At this time, the endometrium becomes thick and soft, storing necessary secretions, ready to allow the fertilized egg to implant at any time.

If a woman's hypothalamus-pituitary-ovarian axis is out of balance, or she is affected by diseases such as polycystic ovary syndrome, the endometrium may be continuously affected by estrogen for a long time, leading to anovulation. At this time, due to the lack of progesterone opposition, the endometrium lacks the transformation of the cyclical secretory phase and will be in a state of hyperplasia for a long time, causing abnormal hyperplasia of the endometrium.

2. What to do if the endometrium is thick

First, curettage treatment for women in the reproductive period: Generally, one curettage can control bleeding. If bleeding still occurs after curettage, hysteroscopy and B-ultrasound examination should be performed to rule out submucosal fibroids or other organic lesions.

Second, the menopausal transition period: It is often anovulatory functional uterine bleeding. If the menstruation is infrequent and the blood volume is heavy or the bleeding time is long after curettage and hemostasis, progesterone treatment should be given every two months, and follow-up observation should be conducted after 3 cycles in total.

Third, in the late menopause: you should ask whether to use estrogen replacement therapy alone. After curettage, you can suspend the replacement therapy or add progestin. Progestogens can inhibit the proliferation of the endometrium caused by estrogen.

Many diseases can be prevented, and endometrial thickening is no exception. To sum up, thick endometrium can cause great harm to girls, so it is very important to do a good job of prevention. Girls can eat healthy, green and light food, go to bed early and get up early, ensure adequate sleep, and pay attention to personal hygiene.