Check endometrial thickness after abortion

Female friends who have had an abortion will definitely find such a problem: the amount of menstruation is also reduced after the abortion. This is because the thickness of the endometrium becomes thinner after the abortion, and the thickness of the endometrium has a direct impact on female reproduction. If you undergo multiple curettages, the damage to your uterus will be greater.

From the above, it can be seen that during the abortion process, female friends undergo curettage, which causes changes in the thickness of the endometrium and affects female fertility. Generally, the thickness of the endometrium will be damaged due to too many times of curettage or too severe curettage surgery. After abortion, the thickness of the endometrium will become thinner, causing a decrease in menstrual volume. Therefore, if there is a significant decrease in menstrual volume after an abortion, it may be caused by a problem with the thickness of the endometrium.

At this time, when the menstruation is slightly reduced, you can measure the basal body temperature to judge whether it is the influence of endocrine or uterus. If the basal body temperature is a typical biphasic, it means that you may have a normal ovulation period, there is no problem with endocrine, and the problem is in the uterus; do B-ultrasound in the middle of the menstrual period to measure the thickness of the endometrium after abortion. If the thickness of the endometrium is not enough, it can be determined that the endometrium is damaged. So what is the normal thickness of the endometrium after miscarriage? What is the change in endometrial thickness?

Normal range of proliferative endometrial thickness: Around day 5-9 of the menstrual cycle, the endometrium is very thin.

The normal range of endometrial thickness during the secretory phase: On the 15th to 19th day of menstruation, which is 1 to 5 days after ovulation, the endometrium continues to thicken and the glands further increase in size and curvature. Around the 20th to 24th day of the menstrual cycle, which is 6 to 10 days after ovulation, the endometrium shows a high degree of secretory activity, and the curvature and expansion of the glands reach their peak. In the late secretory phase, the thickness of the endometrium is about 5-6 mm.

The normal range of endometrial thickness in the premenstrual period is: about 25 to 28 days of the menstrual cycle, which is 11-14 days after ovulation, the thickness of the endometrium decreases by 1/5-1/3.

The normal range of endometrial thickness during menstruation: approximately on the 1st to 4th day of the menstrual cycle, the main changes are endometrial bleeding and shedding.

It is not only related to women's menstruation, but will also affect their future pregnancy plans. It is recommended that if you find that your menstruation is irregular or you have not had your period after an abortion, you should seek medical treatment as soon as possible so as to recover your health as soon as possible and reduce the risk of infertility.

Treatment of endometrial thickening

The treatment of endometrial hyperplasia should not be underestimated. There are generally two methods: drug treatment and surgical treatment. The treatment method depends on the condition.

The cancer rate of endometrial hyperplasia is higher in women over 40 years old, so these patients cannot rely on drug treatment alone and must undergo surgical removal of the uterus. The prerequisite for treatment is to identify the cause. If endometrial hyperplasia is accompanied by symptoms such as polycystic ovary, functional ovarian tumors, and other endocrine dysfunctions, targeted treatment should be carried out. Young patients can consider drug treatment first. There are generally two types of drugs, the ovulation-inducing drug clomiphene and progesterone drugs. The use of drugs and treatment courses must be carried out under the guidance of a doctor, and attention must be paid to whether there are adverse reactions to the drugs.

Surgical treatment is generally used for older women who have no plans to have children, mainly dilation and curettage. However, it should be noted that people with high blood pressure, diabetes, obesity or poor tolerance to surgery should carefully choose whether to undergo surgical treatment. Of course, young patients should also consider surgical treatment when drug treatment is ineffective to prevent the condition from worsening or developing into cancer or recurring.