No bleeding on the 5th day of medical abortion, endometrial thickening

If there is no plan to have a baby in the short term, women should protect themselves and not get pregnant, otherwise they can only end the pregnancy through abortion. Although abortion is very common in medicine and many women think it is a simple thing, it is not. Abortion can also cause physical harm, and medical abortion is equally harmful. It is common that there is no bleeding on the 5th day after medical abortion and the endometrium is thickened. In this case, women do not need to worry too much.

Endometrial thickening is a physiological phenomenon, which is dominated by estrogen. The histological characteristics of the endometrium can be divided into:

Proliferative phase, secretory phase, premenstrual phase, and menstrual phase. The thickness of the endometrium varies from period to period. As the ovaries undergo cyclical changes, other parts of the reproductive organs also undergo corresponding cyclical changes. Among them, the changes in the endometrium are the most significant, including the stages of endometrial proliferation, secretion, shedding and repair.

Tools/Raw Materials

However, female friends need to be wary of excessive endometrial growth, which is a sign of cancer. A pathological examination can clarify the nature of the endometrial growth and take targeted treatment in a timely manner.

Methods/Steps

(A) Normal endometrial thickening

During the ovarian cycle, when follicles develop and mature in the ovaries, under the action of estrogen secreted by the ovaries, the blood supply to the endometrium is strengthened, and a gradual thickening phenomenon, namely the proliferative endometrium, occurs. The thickening of the endometrium provides good conditions for the implantation of the fertilized egg and the growth and development of the embryo. After ovulation, under the action of yun hormone and estrogen secreted by the corpus luteum of the ovary, the thickened endometrium begins to secrete, namely the secretory endometrium.

Proliferative phase: It begins around the 5th day of the menstrual cycle and lasts for 7 to 10 days. During this time, estrogen levels in the blood gradually increase. The endometrium begins to repair, the endometrium gradually thickens, and blood vessels and uterine glands also grow accordingly, but the endometrium is still very thin at this time; Secretory phase: starts approximately on the 15th day after menstruation and lasts about 14 days. At this time, the follicle in the ovary has ovulated, and the corpus luteum is formed after ovulation. The secreted yun hormone causes the already thickened endometrium to continue to thicken, the gland to further enlarge and bend, and secrete mucus. At this time, the endometrium becomes thick and soft, storing necessary secretions, ready to allow the fertilized egg to implant at any time.

(ii) Abnormal thickening of the endometrium

If the ovarian hormone is disordered, it can easily lead to abnormal thickening of the endometrium, which is called endometrial hyperplasia. It is caused by a large amount of estrogen stimulating the endometrium. The clinical manifestations are irregular and heavy abnormal uterine bleeding. Patients may experience continuous bleeding after a long period of amenorrhea, which may be suspected of miscarriage clinically. It may also manifest as shortened cycles and prolonged menstruation, with bleeding time lasting up to 1 month.

Pathological examination showed that the degree of endometrial proliferation was not completely consistent with the severity of bleeding. It manifests as thickening of the endometrium, with thickness ranging from 3 to 12 mm, and in some cases even reaching 20 mm. The endometrium is grayish white or light yellow, with a flat surface or polyp-like protrusions, which may be accompanied by edema. Cystic spaces formed by dilated glands can sometimes be seen on the cross-section.

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Precautions

As for normal endometrial thickening, you don’t need to worry about it, it is a normal phenomenon. However, as abnormal thickening may turn into cancer, we should still be cautious. Traditional Chinese medicine can be used for internal adjustments. Formulas like Fuyan Pills can help promote internal qi and blood circulation and restore normal metabolic circulation of tissues.