What are the early symptoms and examination methods of endometrial thickening?

Many women have a history of gynecological diseases, or even have gynecological diseases in their bodies, but have never undergone any examinations, so the disease has not been diagnosed and treated. This is because some diseases have few symptoms, and patients can easily ignore them, especially in the early stages. The early symptoms of endometrial thickness are rare, and it is easy to be confused with similar gynecological diseases and misdiagnosed, so formal scientific examinations are needed. So what are the early symptoms and examination methods of endometrial thickness?

However, based on long-term observations, the vast majority of endometrial hyperplasia is a reversible lesion or maintains a persistent benign state. Only in a few cases may cancer develop after a longer time interval. Its early symptoms include:

1. Age

Atypical endometrial hyperplasia occurs in younger women. It can also occur in perimenopausal or postmenopausal women.

2. Menstrual status

Abnormal menstruation is one of the prominent symptoms of this disease. It is often manifested as irregular vaginal bleeding, infrequent menstruation or amenorrhea for a period of time followed by long-term heavy vaginal bleeding.

3. Fertility status

Long-term anovulation due to endocrine abnormalities reduces the fertility of such patients. The infertility rate in patients under 40 years old can reach 90%.

examine:

The diagnosis relies on endometrial histology. The sampling methods include: endometrial biopsy, dilation and curettage, vacuum aspiration, and hysteroscopy. Since atypical endometrial hyperplasia often presents as scattered or single focal lesions, the entire endometrium may have various degrees of hyperplasia at the same time, and taking only a few tissue biopsies cannot reflect all changes in the endometrium. For perimenopausal women with atypical endometrial hyperplasia found during hysterectomy, 30%-50% of them also have well-differentiated adenocarcinoma. Therefore, it is very important to obtain comprehensive endometrial tissue from the uterine cavity for pathological examination. Compared with simply taking a few pieces of endometrial tissue, dilation and curettage can scrape more comprehensive tissue, but some areas may still be missed because the curette does not reach, especially the two uterine horns and the uterine fundus. Negative pressure suction can make the endometrium shed more completely, and the diagnosis will be more comprehensive and reliable. Hysteroscopy can not only observe the condition of the endometrium from its appearance, but also perform curettage or negative pressure aspiration under direct vision, making the examination and diagnosis more detailed and comprehensive.

This article introduces in detail the early symptoms and examination methods of endometrial thickness. Endometrial thickness is an avoidable disease. At this time, patients must have a correct understanding of the disease. To stay away from the disease, patients need to stay away from the causes of the disease, such as childbirth, abortion, etc. The symptoms of the disease are the most important. The appearance of symptoms can make patients clear that there is a problem with the body, and patients can go to the hospital for regular examinations and treatment.