How to treat thick endometrium

Endometrial thickening is an abnormal manifestation. For those who have endometrial thickening, it is necessary to understand the relevant treatment methods of endometrial thickening. So how to treat endometrial thickening? What are the treatments for thick endometrium? Next, this article will introduce you to the relevant treatment methods for thick endometrium for your reference only. Please see the detailed introduction below.

How to treat thick endometrium? For the treatment of atypical endometrial thickening, we must first make a clear diagnosis and find out the cause. If it is accompanied by polycystic ovary, functional ovarian tumors, or other endocrine dysfunction, targeted treatment should be performed. At the same time, symptomatic treatment should be started immediately for those diagnosed with atypical endometrial hyperplasia, using medication or surgical treatment. The choice of plan should be determined based on the patient's age, fertility requirements, and physical health condition. For those under 40 years old, their tendency to cancer is low and drug treatment can be considered first. Young people who hope to have children should try drug treatment first, because after drug treatment, about 30% of patients may still become pregnant and give birth to a full-term baby. For women before and after menopause, the potential for cancer is higher than that of younger people, so hysterectomy is often performed directly.

1. Principles of drug treatment

Standardized medication, long-term examinations, regular testing, and timely assisted pregnancy. Type of medication:

1. The ovulation-inducing drug clomiphene should be taken once a day on the 5th to 9th day of the cycle. If necessary, the medication period can be extended by 2 to 3 days.

2. Progestin drugs: They vary according to the degree of endometrial atypicality. For mild atypical hyperplasia, progesterone can be injected intramuscularly, starting on the 18th or 20th day of the cycle, and the drugs should be taken for 5-7 days. Patients with moderate and severe atypical hyperplasia should use medroxyprogesterone continuously for a course of 3 months. After each course of treatment, a curettage or removal of endometrial tissue should be performed for histological examination. Depending on the response to the drug, the patient can choose to stop treatment or increase or decrease the dosage of the drug as appropriate. An intrauterine ring can also be placed.

2. Surgical treatment

Curettage and aspiration is not only an important diagnostic method, but also one of the treatment methods. Because local lesions can also be removed through curettage. Patients with atypical endometrial hyperplasia who are over 40 years old and have no fertility requirements can undergo hysterectomy once diagnosed. However, for patients with hypertension, diabetes, obesity or advanced age who have poor tolerance to surgery, drug treatment may be considered under close follow-up monitoring. Young patients who have not responded to drug treatment, whose endometrial hyperplasia continues or worsens or is suspected of having developed cancer, whose vaginal bleeding cannot be controlled by curettage and drug treatment, and whose condition recurs after delivery, may all consider surgical removal of the hysterectomy.

The above is an introduction on how to treat thick endometrium. I believe that after reading the above introduction, you already know how to treat thick endometrium. In fact, there are many treatments for thick endometrium. If it is not serious, general drug treatment can be used. In severe cases, surgical treatment may be required.