How to treat endometrial thickening? Targeted treatment is very important

For female friends suffering from endometrial thickening, we can take measures such as ovulation induction, curettage, estrogen replacement therapy or surgical treatment for treatment, but we must find out the cause and prescribe the right medicine.

Endometrial thickening should be treated symptomatically according to different causes. First, check whether the patient has polycystic ovary, functional ovarian tumors or other diseases caused by endocrine dysfunction, and then perform targeted treatment. Drug treatment and surgery are generally used for treatment.

1. Ovulation induction therapy : This treatment method is mostly used for young patients. Patients should first measure their basal body temperature. If they are confirmed to be monophasic anovulatory, they can take ovulation-inducing drugs such as clomiphene and chorionic gonadotropin for treatment.

2. Curettage and dilation for women in the reproductive period : Generally, one curettage can control bleeding. If bleeding still occurs after curettage, hysteroscopy and B-ultrasound examination should be performed to rule out submucosal myoma or other organic lesions.

3. Menopausal transition period : It is often anovulatory functional uterine bleeding. If menstruation is infrequent and the amount of blood is heavy or the bleeding time is long after curettage and hemostasis, progesterone treatment should be given every two months, and follow-up observation should be conducted after 3 cycles.

4. Late menopause : You should ask whether to use estrogen replacement therapy alone. After curettage, the replacement therapy can be suspended or progesterone can be added. Progestogens can inhibit the proliferation of the endometrium caused by estrogen.