What are the dangers of endometrial scraping?

Endometrial thickening is generally caused by endocrine imbalance in women. If you are older, you usually need to take medication to make actual improvements. Otherwise it will harm your physical and mental health. So, what are the harms of endometrial thickening curettage?

What are the harms of curettage for endometrial thickening?

After the curettage, women should be careful not to eat raw, cold or irritating foods, otherwise it may have a certain impact on the uterus, which will have a great harm to future pregnancies. In addition, you can often eat some foods that can dispel cold and warm the uterus, such as brown sugar or red beans and dates. This can not only help replenish the body's nutrients but also have a good effect on regulating the uterus, which is very beneficial to women's bodies. After the curettage, if you have your period, you must pay attention to hygiene.

The lesion rate of simple hyperplasia and complex hyperplasia of the uterine wall is very low, at 0-7%, while the lesion rate of intestinal metaplasia reaches 8-45%. Endometrial hyperplasia can be actively treated with ovulation-inducing drugs or estrogen, and most cases of endometrial hyperplasia have a good response and a good prognosis. During the strict follow-up process, if a small number of patients with poor outcomes are found to undergo hysterectomy in time, it is possible to prevent the development of cancer. Even if there is a certain rate of lesions, the interval between lesions is relatively long. Adhere to long-term regular follow-up. If there is any lesion, it will be discovered and treated surgically as soon as possible, and the prognosis is still positive.

For the treatment of intestinal metaplasia of the uterine wall, the diagnosis must be established first and the cause must be identified. If it is accompanied by polycystic ovary, ovarian tumors, or other endocrine and neurological disorders, targeted treatment should be given. At the same time, patients diagnosed with intestinal metaplasia of the uterine wall should start medication treatment immediately, using medication or surgical treatment. The choice of plan should be determined based on the patient's age, requirements for pregnancy, and health status. For those under 40 years old, the disease tendency is low and drug treatment can be considered first. Young people who are looking forward to having a baby should first use medication treatment, because after medication treatment, about 30% of patients are still likely to become pregnant and give birth to a full-term baby. For women before and after menopause, the potential development of the disease is higher than that of young people, so hysterectomy is often performed immediately.

How thick is the uterine wall?

Generally, the thickness of the uterine wall can be detected by B-ultrasound and other methods. According to the regular changes of the uterine wall, we can judge the women's menstrual cycle. Therefore, how thick the uterine wall is normal is not a fixed answer. It is more accurate to judge how thick the uterine wall is normal based on a woman's menstrual cycle.

In the early stage of hyperplasia, the endometrium appears as a thin echo line, about 4-6mm thick. In the late stage of hyperplasia, the uterine wall gradually shows three strong echo lines, and the middle low echo area is a double-layer functional endometrium with a thickness of about 8-10mm. At the end of the hyperplasia stage, the three lines and two zones are more clearly visible, and the thickness of the endometrium is expanded to about 9-10mm.

Metabolic period: After the production of progesterone, the uterine wall undergoes a metabolic reaction under the action of estrogen. The metabolic period is also divided into three stages: early, middle and late.

Early metabolic period: Day 15-19 of the menstrual cycle. During this stage, the endometrial ducts are longer and more tortuous. Hot bubbles containing glycogen begin to appear under the nuclei of glandular epithelial cells, which is called subnuclear vacuolation and is a histological feature of the early stage of metabolism.

Middle and late metabolic period: Day 20-23 of the physiological cycle. The endometrium is thicker and has a serrated shape. The metabolism in the glandular duct is called apocrine metabolism, in which the cell membrane at the top of the squamous epithelial cells breaks open and the glycogen in the somatic cells is discharged into the glandular cavity. During this period, the endoplasm is highly edematous and loose, and the spiral arteries proliferate and curl.

Late metabolic phase: Day 24-28 of the physiological cycle. This period is the early stage of menarche. The endometrium is thickened and has a honeycomb pattern. The endometrial glandular ducts open toward the endometrial cavity, with glycogen and other substances overflowing. The interstitial space is looser and more edematous, and the interstitial space under the surface squamous epithelial cells divides into hypertrophic decidual-like cells. During this stage, the spiral arteries grow rapidly, exceeding the thickness of the endometrium, becoming more tortuous and the vascular lumen expanding. At the end of metabolism, the thickness of the uterine wall is about 5 to 6 mm.

Menstrual period: Day 1 to 4 of the menstrual cycle. At this time, the level of estrogen and oestrogen decreases, which activates the production of prostacyclin in the endometrium. Prostacyclin can stimulate the contraction of the uterine myometrium, causing continuous contraction of the spiral arteries in the functional layer of the endometrium and a decrease in endometrial blood flow. The total area of ​​ischemic necrotic tissue gradually expands. Tissue degeneration and necrosis, increased permeability of blood vessel walls, rupture of blood vessels, resulting in the formation of abscesses at the bottom of the endometrium, and promoting tissue necrosis and exfoliation. The degenerated and necrotic endometrium mixes with the blood and is discharged to produce menstrual blood. The thickness of the inner membrane can reach 8-10mm.

The uterus is a very important organ for women. It is also the place where women create life. As a woman, it is best to know more about these aspects. Through the above introduction, we have already mastered the normal knowledge of the thickness of the uterine wall and the normal menstrual cycle of women, which can protect our health.