Does the intima 0.6 mean the basal layer is damaged?

Under normal circumstances, before the onset of menstruation, the thickness of the uterine wall should be at least 1.0 cm. If the uterine wall is 0.6 cm and the patient has a history of abortion or curettage, the possibility of damage to the dermis of the uterine wall cannot be ruled out. If the patient has a thin uterine wall after an abortion or curettage, the main consideration is uterine wall damage and uterine wall adhesion, and hysteroscopy is required for identification. If the patient has no history of intrauterine operation and finds that the uterine wall is thin, the main consideration is that it is caused by endocrine disorder, and it is necessary to check six sex hormones, thyroxine, and blood sugar levels for diagnosis.

The uterine wall is generally divided into the functional layer and the dermis. The functional layer should be the front 2/3 of the tissue, which will undergo regular changes and fall off with the changes in uterine and ovarian estrogen. The 1/3 endometrium adjacent to the myometrium is called the dermis. This layer of tissue is not easily changed in thickness with the changes in estrogen.

The thickness of the uterine wall depends on the relative menstrual cycle. Generally, the uterine wall fluctuates between 5-10mm. It should be between 7-8mm during the ovulation period, about 10mm near the menstrual period, and about 5mm just after the menstrual period. Therefore, a 6mm uterine wall should be in the state of ovulation. If the uterine wall is found to be normal during this period, it cannot be directly inferred based on the thickness whether there is a problem with the dermis of the uterine wall, and further examination is needed.

This condition is somewhat difficult to treat. You can consider taking Chinese medicine for conditioning. Chinese medicine mainly believes that it is related to insufficient kidney essence. You can take Wu Ji Bai Feng Wan, etc. In addition, pay attention to increasing nutrition and exercise. After an abortion, menstruation stops and secondary amenorrhea occurs. There are other reasons as well (1), such as having sex or taking a sitz bath too soon after the operation. Some women have sex with their husbands a few days after surgery; or ignore the doctor's advice and take a sitz bath, which causes bacteria to invade the vagina and uterus, leading to intrauterine infection, irregular menstruation and even amenorrhea. (2) Excessive mental stress. Fear before surgery, worry about abortion or mental burden caused by not being able to get pregnant, especially the shame of being pregnant before marriage. This kind of mentality cannot be changed after surgery and may cause amenorrhea.