What to do if the endometrium is 0.6cm and menstruation does not come

The absence of menstruation when the endometrium is 0.6cm thick may be related to hormone levels, usually caused by corpus luteum insufficiency. Treatment can be carried out under the guidance of a doctor by checking sex hormone levels and supplementing necessary hormones.

1. Understanding the cyclical changes of the endometrium is the first step to solve the problem. The endometrium is divided into the functional layer and the basal layer, of which the functional layer is the key site for embryo implantation. It undergoes three stages during the menstrual cycle: proliferation, secretion, and shedding. During the proliferation phase, under the action of estrogen, the endometrium thickens to about 0.3-0.5cm. During the secretory phase, the progesterone and estrogen secreted by the corpus luteum continue to thicken the endometrium, and the glands become longer and more curved. During the shedding phase, if the egg is not fertilized, the endometrium will fall off, resulting in menstruation.

2. Endometrial thickness of 0.6cm usually means luteal insufficiency, which leads to abnormal secretory phase. This situation may cause delayed or absent menstruation. Luteal insufficiency is due to insufficient secretion of progesterone and estrogen, which cannot maintain normal thickening and shedding of the endometrium.

3. Checking the sex hormone level is one of the key steps. Through blood tests, we can understand the levels of estrogen and progesterone in the body, so as to determine whether there is luteal insufficiency. This examination is an important basis for formulating treatment plans.

4. Supplementing estrogen and progesterone under the guidance of a doctor is a common treatment method. Commonly used estrogens include estradiol benzoate, conjugated estrogens and pregnancies, while commonly used progestins include medroxyprogesterone, norethisterone and megestrol acetate. The choice and dosage of the drug needs to be determined by the doctor based on individual circumstances to ensure safety and effectiveness.

5. Lifestyle adjustments can also help improve the health of the endometrium. Maintaining a healthy weight and eating a balanced diet, especially foods rich in vitamins and minerals, can help regulate hormone levels in the body. Moderate exercise and good sleep can also help improve the menstrual cycle.

6. Regular follow-up is an important part of the treatment process. Through follow-up, you can understand the effect of the treatment and adjust the treatment plan as needed. Maintaining good communication with the doctor and timely feedback on physical changes are important factors to ensure the success of treatment.

Through the above methods, many women can effectively improve the problem of insufficient endometrial thickness and restore normal menstrual cycles. Remember, a healthy lifestyle and professional medical guidance are the key to solving the problem.