Will the 4mm intima damage the basal layer?

If the dermis of the uterine wall is damaged during the abortion operation, amenorrhea may occur, and the uterus is not covered by the endometrium, and the front and back walls may form adhesions. The total area of ​​uterine wall dermis damage is different, and the clinical symptoms are also different. If the dermis is completely damaged, the front and back walls of the uterus are completely adhered, and the patient may completely amenorrhea; if part of the dermis still exists, it will manifest as a decrease in menstrual volume. Our hospital is an intelligent specialist clinic established in accordance with the World Health Organization's human infertility diagnosis and treatment standards. It is recommended that you come to the hospital for a detailed examination to determine the actual damage caused to you after the abortion. For treatment, do not miss the best age for pregnancy.

Under normal circumstances, before the onset of menstruation, the thickness of the uterine wall should be at least 1.0 cm. If the uterine wall is 0.6 cm and the patient has a history of abortion or curettage, the possibility of damage to the dermis of the uterine wall cannot be ruled out. If the patient has a thin uterine wall after an abortion or curettage, the main consideration is uterine wall damage and uterine wall adhesion, and hysteroscopy is required for identification. If the patient has no history of intrauterine operation and finds that the uterine wall is thin, the main consideration is that it is caused by endocrine disorder, and it is necessary to check six sex hormones, thyroxine, and blood sugar levels for diagnosis.

The uterine wall is generally divided into the functional layer and the dermis. The functional layer should be the front 2/3 of the tissue, which will undergo regular changes and fall off with the changes in uterine and ovarian estrogen. The 1/3 endometrium adjacent to the myometrium is called the dermis. This layer of tissue is not easily changed in thickness with the changes in estrogen.

The thickness of the uterine wall depends on the relative menstrual cycle. Generally, the uterine wall fluctuates between 5-10mm. It should be between 7-8mm during the ovulation period, about 10mm near the menstrual period, and about 5mm just after the menstrual period. Therefore, a 6mm uterine wall should be in the state of ovulation. If the uterine wall is found to be normal during this period, it cannot be directly inferred based on the thickness whether there is a problem with the dermis of the uterine wall, and further examination is needed.