What causes uneven endometrial echo?

The endometrium is the place where life is nurtured, so the health of the endometrium also determines whether pregnancy can be successful. In life, many women suffer from endometrial diseases, especially the thickness of the endometrium has an important impact on pregnancy. We have all heard about uneven echo of the endometrium. What is going on?

What causes uneven endometrial echo?

Uneven endometrium is usually diagnosed by diagnostic curettage, in which the scraped endometrium is examined for pathological examination. Generally speaking, the pathological report of uneven endometrium may include the following situations:

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

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

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

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

5. 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 are manifested by endometrial water loss, dense stroma, glandular atrophy, and a mixture of secretory and proliferative endometrium.

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