Is it normal for the endometrium to be centered?

The uterus is an important organ in the female body. Its health is directly related to whether it can successfully conceive a new life. It is of great significance to herself and the entire family. Therefore, examination of the uterus is very necessary. Is it normal for the endometrium to be centered? If there is an endometrial abnormality, what tests should be done to confirm the diagnosis? The following is a detailed explanation of some methods for examining the endometrium for your reference.

Laboratory tests

(1) CA125 (ovarian cancer-associated antigen) value measurement is a tumor-associated antigen with certain diagnostic value for ovarian epithelial cancer. However, in patients with endometriosis, the CA125 value may increase, and the positive rate increases with the increase in the stage of endometriosis. Its sensitivity and specificity are very high, so it is helpful for the diagnosis of endometriosis and can also monitor the efficacy of endometriosis treatment.

(2) Anti-endometrial antibodies (EMAb) Anti-endometrial antibodies are autoantibodies that use the endometrium as a target antigen and induce a series of immunopathological reactions. They are the hallmark antibodies of endometriosis. The detection of serum EMAb is an effective method for the diagnosis and efficacy observation of patients with endometriosis.

2. Imaging examination

(1) Type B ultrasound examination Type B ultrasound examination is one of the commonly used examination methods in obstetrics and gynecology, and plays an important role in the diagnosis of obstetrics and gynecology diseases. Determine the location, size, and shape of cysts and detect masses that were not palpable during gynecological examination.

(2) Laparoscopic examination: Using a laparoscope to directly observe the pelvic cavity, ectopic lesions can be seen or a biopsy of visible lesions can be performed to confirm the diagnosis. The clinical stage of pelvic endometriosis and the treatment plan can be determined based on the results of the microscopic examination. Under laparoscopy, attention should be paid to observing the uterus, fallopian tubes, ovaries, uterosacral ligaments, pelvic peritoneum and other parts for the presence of endometriosis lesions. Endometriosis is staged and scored based on laparoscopic or surgical findings.

(3) X-ray examination can be performed alone to assist in the diagnosis of pelvic endometriosis by using pelvic pneumatic angiography and hysterosalpingography.

(4) Magnetic resonance imaging (MRI) MRI can directly image in multiple planes, providing an intuitive understanding of the extent, origin, and invaded structures of the lesion. It can correctly locate the lesion and enhance the display of soft tissue. Therefore, MRI is of great value in diagnosing endometriosis and understanding pelvic lesions and adhesions.

From the above introduction, it can be seen that the central endometrium is a normal and healthy phenomenon. If the examination shows that the endometrium is central, then you should be grateful for having a healthy uterus. However, if you want to have a baby, in addition to checking the endometrium, you need to do more gynecological examinations. Don't be careless. Consider pregnancy only after all the examinations are confirmed to ensure the health and safety of yourself and your baby. In life, adult married women should also pay attention to the cleanliness of their sexual life, avoid sexual intercourse during menstruation, and prevent endometriosis.