What to do if the endometrium is thick and menstruation does not come

What should I do if my endometrium is thick and I don’t have my period?

Thick endometrial menstruation can be caused by endocrine disorders, endometrial hyperplasia, endometriosis and other reasons, which can be relieved by medication and surgical treatment.

1. Endocrine disorders: If you have an improper diet or stay up late for a long time, mental stress can easily lead to endocrine disorders. When the corpus luteum is insufficient, the endometrium cannot shed. You can take progesterone capsules, dydrogesterone tablets, estradiol valerate tablets and other drugs according to the doctor's advice to improve it.

2. Endometrial hyperplasia: Endometrial hyperplasia is usually caused by the thickening of the endometrium due to long-term unopposed estrogen stimulation, which can lead to irregular menstruation, abnormal uterine bleeding, lower abdominal pain and other symptoms. You can take medroxyprogesterone acetate tablets, megestrol acetate tablets, levonorgestrel tablets and other drugs as recommended by the doctor to improve the condition. For patients with atypical endometrial hyperplasia who are ineffective with drug treatment and have no fertility requirements, a total hysterectomy can be performed.

3. Endometriosis: Endometriosis refers to the growth of endometrial tissue outside the myometrium, such as pelvic organs, parietal peritoneum, ovaries, uterine fundus ligaments, etc., which can lead to abnormal menstruation or even infertility. You can take levonorgestrel tablets, megestrol tablets, mifepristone tablets and other drugs as recommended by your doctor to relieve the symptoms. It can also be treated by resection of ectopic endometrial lesions, surgery to preserve ovarian function and total hysterectomy.

In addition to the common causes mentioned above, it may also be uterine fibroids, etc. Patients are advised to go to the obstetrics and gynecology department of the hospital in time and receive standardized treatment.