Endometrial thickening bleeding

There is a certain amount of endometrium inside a woman's uterus, and the periodic shedding of the endometrium also causes menstruation in the female body. And for every different woman, the thickness of their endometrium is different, and the thickness of the endometrium is related to a woman's ability to conceive. In general, women with thick endometrium have a lower chance of getting pregnant, but will thick endometrium cause bleeding?

Physiologically thick endometrium will not always cause bleeding. When irregular bleeding occurs, it is likely due to abnormal endometrial thickening caused by ovarian hormone secretion disorders. This condition is what we often call endometrial hyperplasia. Generally, most cases of endometrial hyperplasia occur in women who are in menopause or adolescence. Obese women have a higher chance of endometrial thickening. The main symptom is irregular abnormal uterine bleeding. Therefore, many women after menopause will experience continuous bleeding. Some also experience shortened cycles and prolonged menstruation, and the bleeding time can be up to 1 month.

When a woman has thick endometrium and always bleeds, she should be alert to endometrial hyperplasia, which can occur in women of any age. It manifests as irregular vaginal bleeding or continuous bleeding, or irregular menstruation, and also symptoms such as infertility. If these phenomena exist, it is possible that the bleeding is not caused by physiological endometrial thickness, but endometrial hyperplasia.

This abnormal endometrial thickening phenomenon requires timely treatment. There are many treatments, such as ovulation induction therapy and curettage treatment for women in the reproductive period. For women in the menopausal transition period, who have anovulatory bleeding, if their menstruation is infrequent and the amount of blood is heavy or the bleeding time is long after curettage to stop bleeding, cyclical progesterone treatment can be performed. For those in the late menopause, simple estrogen replacement therapy can be used. The specific treatment can be determined according to their own situation.

The above are the main causes of endometrial bleeding. This situation is mostly caused by pathological endometrial thickening, which is what we often call endometrial hyperplasia. Therefore, for patients with this symptom, attention should be paid to timely symptomatic treatment. There are many therapies. Patients can choose appropriate treatments according to their age and bleeding characteristics to eliminate the harm.