What is the normal thickness of the endometrium?

Is your uterus normal? I believe that many women would not be sure when asked such a question, what is the normal state of the uterus? Does normal menstruation mean there is no problem with the uterus? In fact, there are quite a few problems with the uterus, and even if menstruation is normal, the uterus does not necessarily have no problems at all. For example, some women have normal menstruation but just can’t get pregnant. In fact, this is a problem with the endometrium. So what is the normal thickness of the endometrium?

What is the normal thickness of the endometrium? According to experts, the thickness of the endometrium is different at different stages of the menstrual cycle. If the endometrium is thick, menstruation is likely to be very painful and the fertilized egg is not easy to implant! That is, the endometrium is thicker than normal. The thickness of the endometrium cannot determine whether you can get pregnant. Whether or not you ovulate is the key to whether you can get pregnant. The normal and healthy diameter is generally 0.2-1.0 cm. The endometrium undergoes corresponding cyclical changes based on the cyclical secretion of ovarian hormones throughout the menstrual cycle. The main reason for a thick endometrium is that excess estrogen stimulates the endometrium.

The specific numbers are:

1. Menstrual period: The functional layer of the endometrium falls off and the basal layer remains.

2. Proliferative stage: The thickness of the uterus reaches 1-3mm within 6-14 days of menstruation.

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

The size of a normal uterus is: length: 7-8cm, width 4-5cm, thickness 2-3cm, and capacity is 5 ml. If the endometrium during the secretory phase is not less than 10mm, it will not affect fertility.

Treatment of endometrial thickening:

(1). For postmenopausal women with endometrial thickening:

The use of estrogen-only replacement therapy should be questioned. After curettage, replacement therapy can be suspended or progestin can be added.

(2). For women with endometrial thickening during the menopausal transition:

It is often anovulatory functional uterine bleeding. If the menstruation is infrequent and the blood volume 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 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.

In the above article, we have given you a detailed introduction to the normal thickness of the endometrium. I believe that you have now understood the normal thickness of the endometrium, right?