How thick is the endometrium that requires curettage?

When talking about the uterus, many friends will think of female friends at the first time. The uterus can be said to be the main physiological organ of girls. The uterus is particularly important for girls. So, what are the causes of endometrial thickening? How thick does the uterine wall need to be to require a curettage? Next, the editor will explain these aspects in detail for everyone.

What are the causes of endometrial thickening?

The pathogenic factors of endometrial hyperplasia are not yet very clear, but the following conditions and facts show that long-term estrogen stimulation is its main pathogenic factor. Anovulation may occur in adolescent girls, menopausal women, or in cases of imbalance in a certain stage of the hypothalamic-pituitary-uterine-ovarian axis, polycystic ovary syndrome, etc. The uterine wall is continuously affected by estrogen for a long time, has no estrogen resistance, lacks regular metabolic changes, and is in a state of hyperplasia.

In patients receiving postmenopausal estrogen replacement therapy (ERT), it was observed that 20% of women developed endometrial hyperplasia after using estrogen alone for one year. Endometrial hyperplasia can also be observed in postmenopausal patients with advanced breast cancer who have been treated with tamoxifen (TAM) for a long time. Tamoxifen has a weak estrogen-like effect.

How thick is the uterine wall? Does it require curettage?

Needed, and surgical treatment. Curettage and aspiration is not only an important diagnostic method, but also one of the treatment methods. Because some diseases can be eliminated through curettage. Patients aged 40 years and above with intestinal metaplasia of the uterine wall who are not pregnant can undergo hysterectomy once diagnosed. However, for patients with hypertension, diabetes, obesity or the elderly who have poor tolerance to surgery, drug treatment can be considered first under strict follow-up testing. Young patients who have failed to respond to medication, whose endometrial hyperplasia continues or worsens or is suspected to have developed into cancer, or whose vaginal bleeding cannot be controlled by curettage and medication, and who relapse after childbirth, can all consider surgical hysterectomy.

The above is some content that the editor has introduced in detail about how thick the uterine wall is and whether a curettage is required. I hope it will be of some help to everyone. For this reason, this kind of situation requires curettage. If curettage is not performed, it will cause serious damage to your health. Friends can check the microbial materials in their spare time to learn about the professional knowledge in these areas.