What should I do if the test tube lining is thin?

In daily life, many women cannot get pregnant naturally due to various reasons. Some women may have abnormal ovulation, and some women may have a thin endometrium due to frequent abortions. Everyone knows that it is not easy for women with thin endometrium to conceive. If a woman is doing in vitro fertilization, if the endometrium is thin, it can easily lead to transplantation failure. So what should we do if the endometrium is thin in the test tube?

What to do if the endometrium is too thin

If the endometrium is found to be thin, a hysteroscopy should be performed first to rule out intrauterine adhesions. Your doctor may choose to give you a higher dose of estrogen to stimulate the growth of the endometrium, or use medications to increase blood flow to the endometrium, thereby improving a woman's thin endometrium.

There may be many causes of thin endometrium. The most common one is damage to the endometrium. For example, repeated abortions and curettages can damage the endometrial muscle layer, making it very difficult for the endometrium to grow. Therefore, the endometrium will remain thin. Then there is another situation, which is inflammation. Inflammation of the endometrium, especially the erosion of the endometrium caused by endometrial adhesion, can also cause the endometrium to be too thin or cause adhesions in the uterine cavity.

In clinical practice, when we find thin endometrium, the first thing we need to rule out is intrauterine adhesion, so we will ask the patient to undergo a hysteroscopy. There is no satisfactory method for treating thin endometrium clinically. Your doctor may then choose to use a larger dose of estrogen to stimulate the growth of the endometrium, or use some medications to increase blood flow to the endometrium. Now some people are trying to use stem cell transplantation to improve the condition of the endometrium.

What are the causes of thin endometrium?

First, serious endocrine disorders. The endometrium refers to the layer that makes up the inner wall of the mammalian uterus. It responds to both estrogen and progesterone and can change significantly during the menstrual cycle. Estrogen can cause uterine hypertrophy, and progesterone can promote special changes in the endometrium in early pregnancy, or change the properties of the endometrium so that it has the ability to produce decidua. Therefore, if a woman's endocrine system is severely disturbed, it will lead to hormonal imbalance in the body, disrupt the cyclical changes of the endometrium, and cause a thin endometrium.

Second, artificial abortion. The basal layer of the endometrium is an important support for the regeneration of the functional layer of the endometrium after it falls off. However, if a woman has had multiple medical abortions or surgical abortions, the basal layer of the endometrium may be easily damaged, resulting in a decreased or impossible regeneration function and the endometrium being too thin.

Third, uterine malformation. Uterine malformation is also a cause of thin endometrium, but it has been ignored for a long time. Clinically, some patients' uterine angiography is no longer an inverted pear shape, but even appears as long and thin strips. This thin endometrium caused by congenital malformations is generally difficult to treat clinically.

To sum up, if the endometrium is too thin, the most basic thing is to have an examination, figure out the situation, and then prescribe the right medicine. A thin endometrium will affect a woman's fertility to a certain extent, so it is necessary to seek timely treatment as soon as possible, communicate more with the doctor, and pay more attention to personal hygiene.