What to do if the endometrium is thick

Thick endometrium is a common symptom that can occur at multiple stages of a woman's life, including menopause, menopause, and childbearing age, as well as adolescence. This refers to the occurrence of stromal hyperplasia in the endometrial glands. For example, inflammation, endocrine disorders, etc. can easily lead to thickening of the endometrium. Different methods should be adopted for conditioning and treatment according to different symptoms.

The endometrial biopsy report often shows several conditions, such as endometritis, endometrial polyps, simple hyperplasia, recurrent hyperplasia, atypical hyperplasia, etc. Among them, "inflammatory lesions in the endometrium" indicates that endometritis is common; "endometrial polyp-like lesions" indicate endometrial polyps.

If the endometrial biopsy report indicates endometritis, active anti-inflammatory treatment is needed; routine analysis and culture of the secretions are required. If mycoplasma, chlamydia, gonococci, etc. are found, active drug sensitivity testing is required and sensitive antibiotics should be selected for treatment; if the biopsy indicates endometrial polyps, and the patient's polyps are relatively large and affect the couple's sex life, surgery can be performed to remove the polyps.

In addition to these two most common ones, which can be treated with general medications or minor surgery, let's look at several other biopsy reports of endometrial thickening:

Simple endometrial hyperplasia is manifested under the microscope as the simultaneous proliferation of the endometrium, glands, and stroma. The glands will appear to be of different sizes and have relatively smooth contours. Although glandular epithelial cells have no heterosexuality, there is still a 1% chance that they will develop into endometrial cancer; therefore, in order to prevent this 1% from occurring, timely treatment is required in the case of simple hyperplasia. If there is no relief of endometrial thickening after three menstrual cycles of treatment with yun hormone, you can take Chinese medicine that "strengthens the spleen and eliminates dampness, promotes blood circulation and qi, clears away heat and detoxifies", such as Fuyan Pills and Guizhi Fuling Pills, which have good clinical effects in treating endometrial thickening.

The microscopic manifestations of complex endometrial hyperplasia are both similar and different from those of simple hyperplasia; the similarity is that the glandular epithelial cells are also non-heterogeneous; the difference is. The glands of complex hyperplasia appear highly proliferative, bean sprout-shaped or papillary-shaped. The glands are no longer smooth but irregular and crowded. If they are not treated systematically, there is a 3% chance of developing into cancer. Therefore, for complex hyperplasia of the endometrium, you can take the yun hormone, Fuyan pills, Guizhi Fuling pills and other treatments mentioned above, with a good prognosis.