What are the treatments for endometrial thickening?

What are the treatments for endometrial thickening?

I believe everyone knows that for women, gynecological diseases are inevitable in this long yet short life. Minor symptoms continue to occur and if you don't pay attention you may suffer from major symptoms. Endometrial thickening is a type of gynecological disease, and people who are not familiar with this type of disease are very worried about it. So what are the treatments for endometrial thickening? Let me introduce them to you today.

Gynecological diseases are difficult to avoid for every woman in her lifetime, but if you don’t understand them, it can easily lead to psychological panic. For example, if the endometrium becomes thicker, it can easily cause negative psychology if you don’t understand it. However, if the endometrium proliferates abnormally, you should be vigilant.

Endometrial thickening, also known as endometrial hyperplasia, refers to a disease in which the endometrium grows excessively due to inflammation, endocrine disorders, or stimulation of certain drugs. Endometrial thickening is more common in adolescent or menopausal women with irregular menstruation and is a reversible endocrine system disease. Clinical studies have shown that the vast majority of patients can be cured through treatment as long as they maintain a persistent benign state.

Generally speaking, the normal thickness of the endometrium is 8-10mm.

The changes in the endometrium show three cyclic changes:

1. Menstrual period: The functional layer of the endometrium is shed and the basal layer is retained.

2. Proliferative stage: The thickness of the uterus reaches 1-3mm during the 6th to 14th day of menstruation.

3. Secretory phase: 15-28 days of menstruation, the endometrium is 5-7mm thick.

1. For young patients with endometrial thickening: Most of them are anovulatory functional uterine bleeding. The basal body temperature should be measured. If it is confirmed to be monophasic anovulation, ovulation induction treatment can be used.

2. For patients with endometrial thickening during the menopausal transition period: it is often anovulatory functional uterine bleeding. If menstruation is infrequent and the amount of blood is heavy or the bleeding time is long after curettage and hemostasis, progesterone treatment should be given every two months, and follow-up observation should be conducted after 3 cycles.

3. For patients with endometrial thickening during the reproductive period: Generally, one curettage can control bleeding. If bleeding still occurs after curettage, hysteroscopy and B-ultrasound should be performed to rule out submucosal fibroids or other organic lesions. Women with polycystic ovary syndrome who may also experience infertility during the reproductive period and clinically manifest as anovulation should be treated as those with polycystic ovary syndrome.

4. For postmenopausal patients with endometrial thickening: they should be asked whether to use estrogen replacement therapy alone. After curettage, replacement therapy can be suspended or progestin can be added.

Through the above introduction, I believe everyone has had a certain understanding of the treatment methods for endometrial thickening. Its treatment method is not a single one and can be treated through many methods. People suffering from this type of disease should not worry. As long as they grasp the right time for treatment, most patients can be cured well.