What should I do if the endometrium thickens?

The endometrium is a very important tissue. Although it is only a thin layer, it is the destination for the fertilized egg to implant. The development of the fetus begins by taking root and sprouting from the endometrium. Although the endometrium is very thin, it will show signs of thickening under the influence of disease. The thickened endometrium is very unfavorable for the implantation of the fertilized egg, because the thickening of the endometrium means that it will fall off and become a part of the female physiological phenomenon. Therefore, it is difficult to get pregnant if the endometrium is thickened, and the only way to get pregnant is to receive treatment and recover as soon as possible. Let’s take a look at what to do if the endometrium thickens.

The treatment of endometrial thickening should be symptomatic 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, this treatment method can be used. The ovulation-inducing drugs include clomiphene and chorionic gonadotropin. The dosage of clomiphene is 50-100 mg, once a day, taken on the 5th to 9th day of the menstrual cycle. If necessary, the medication period can be extended by 2-3 days.

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 should be performed to rule out submucosal myoma or other organic lesions. Women in the reproductive period may also be infertile and have clinical manifestations of anovulation due to polycystic ovary syndrome, which should be treated according to polycystic ovary syndrome.

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.