Does endometrial thickening mean pregnancy?

Endometrial thickening is a symptom of pregnancy, but not all endometrial thickening indicates pregnancy. Sometimes delayed menstruation can also lead to endometrial thickening, and if a woman suffers from endometrial thickening, it can also lead to infertility.

During early pregnancy, due to the influence of elevated estrogen and progesterone in the body, the thickness of the endometrium will increase significantly to more than 10 mm. The thickening of the endometrium during pregnancy can protect the gestational sac. After menopause, the blood HCG shows positive but the B-ultrasound can only indicate the thickening of the endometrium and no echo of the gestational sac is seen inside or outside the uterus. In this case, we should consider whether it is caused by the short period of early pregnancy depending on the actual time of menopause.

The B-ultrasound will not show the echo of the gestational sac until 6-7 weeks of early pregnancy. You can have another B-ultrasound check one week later. If the amenorrhea lasts for more than 7 weeks or is accompanied by vaginal bleeding or abdominal pain, you should be alert to the possibility of threatened abortion, pregnancy arrest or ectopic pregnancy. Pay attention to pregnancy care, proper diet and nutrition, regular B-ultrasound and blood progesterone and blood HCG checks, comprehensive diagnosis based on clinical symptoms, and active fetal preservation treatment when necessary. Maintain a good attitude, get more rest, avoid sexual intercourse during early pregnancy, and avoid spicy and irritating foods.

The normal range is 0.2-1.0 cm. The thickness of the endometrium changes with the menstrual cycle and is not constant. The specific numbers are: Menstrual period: the functional layer of the endometrium falls off and the basal layer remains; Proliferative phase: the endometrium thickness reaches 1-3mm during the 6th-14th day of menstruation; Secretory phase: during the 15th-28th day of menstruation, the endometrium thickness reaches 5-7mm. The menstrual cycle is mainly regulated by ovarian hormones. If the ovarian hormones are disordered, it will inevitably cause menstrual disorders, and the endometrium will also have corresponding morphological changes. Changes in the endometrium caused by various reasons are mainly manifested clinically as amenorrhea and functional uterine bleeding. Go to a specialist hospital for treatment in time. If the condition is serious, a curettage is required.