Does uneven endometrial echo require uterine curettage?

Uneven endometrial echo is a disease of the female endometrium. Uneven endometrial echo does not require uterine curettage and can be treated by other methods. Before treatment, an endometrial examination is required, and color ultrasound or medication is needed for treatment. Uneven endometrial echo needs to be treated in a timely manner.

Does uneven endometrial echo require uterine curettage?

Routine uterine curettage is not required for uneven endometrial echo. If there is no continuous vaginal bleeding, oral progesterone can be given for 12-14 days in the second half of the menstrual cycle. If withdrawal bleeding occurs, color Doppler ultrasound can be performed again 3-7 days after the menstruation ends to understand the condition of the endometrium and see if there is any uneven endometrial echo.

If you are older, over 40 years old, and have prolonged irregular vaginal bleeding, and color Doppler ultrasound shows uneven endometrial echo, it is recommended that you undergo hysteroscopic endometrial curettage or uterine curettage. The cleared tissue should be routinely sent for pathology, and effective treatment should be given according to the results of the pathological examination. If it is atypical endometrial hyperplasia, for older patients, oral administration of high-efficiency progestins can be considered. If it is not accompanied by atypical endometrial hyperplasia, a Mirena ring can be placed in the uterine cavity to prevent endometrial hyperplasia again.

Generally, the endometrial echo is uneven because the endometrium is relatively thick. You can make a judgment by measuring blood hcg and color ultrasound.

1. If hcg has dropped to normal, then it is okay and you can wait for your period to come. Generally, your period will come 30 to 40 days after the operation.

2. If hcg has not returned to normal, you can observe it dynamically and check it again after one week. If it still fluctuates above the normal range, then it is recommended to have a uterine curettage or take oral progesterone to induce menstruation and help the shedding of the endometrium.

The uneven echo of the endometrium should be determined based on the situation. For example, if the uneven echo of the endometrium is found during color Doppler ultrasound due to menstrual disorders, or if the uneven echo of the endometrium is found during a follow-up examination after an abortion, color Doppler ultrasound will show uneven echo of the endometrium due to inflammation of the endometrium, pelvic inflammation, repeated curettage, and abortion. How is it treated clinically? If there is unevenness after abortion and curettage, is there a possibility of residual uterine cavity? Further examination should be conducted in a regular hospital. If you have irregular menstruation, repeated bleeding, and color Doppler ultrasound reveals that the endometrium is uneven, it is best to have a diagnostic curettage to scrape out the endometrium and send it for pathological testing to see whether it is benign or malignant. If it is benign, that is, simple hyperplasia, it can be treated with Chinese medicine. For example, Chinese medicine that nourishes the kidney and blood can be used to regulate menstruation. Once menstruation returns to normal, you can do color ultrasound again and the endometrial echo will become normal.